A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA
We report a patient with a symptomatic intraluminal internal carotid artery thrombus clinically revealed by cerebral infarction. In the preoperative evaluation, it was revealed that essential thrombocythemia existed in the background. Therefore, medical treatment with antithrombotic agents in conjun...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/9152009 |
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| author | Satoshi Takahashi Masahiro Katsumata Hirotsugu Nogawa Kento Takahara Jin Nakahara Masahiro Toda |
| author_facet | Satoshi Takahashi Masahiro Katsumata Hirotsugu Nogawa Kento Takahara Jin Nakahara Masahiro Toda |
| author_sort | Satoshi Takahashi |
| collection | DOAJ |
| description | We report a patient with a symptomatic intraluminal internal carotid artery thrombus clinically revealed by cerebral infarction. In the preoperative evaluation, it was revealed that essential thrombocythemia existed in the background. Therefore, medical treatment with antithrombotic agents in conjunction with hydroxycarbamide for essential thrombocythemia was initiated, but the thrombus was not dissolved by three weeks. At this time, the patient underwent carotid endarterectomy, which removed the thrombus completely with its adjacent plaque without any perioperative stroke. The possibility of essential thrombocythemia may also be kept in mind when an increased platelet count is observed in patients with internal carotid artery thrombus. It is a reasonable option to precede medical treatment, including anticoagulant therapy, by setting the time limit for surgical intervention in such a disease state. |
| format | Article |
| id | doaj-art-06196d740c8b4ccdb51c6cb681178159 |
| institution | Kabale University |
| issn | 2090-6676 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-06196d740c8b4ccdb51c6cb6811781592025-02-03T01:29:43ZengWileyCase Reports in Neurological Medicine2090-66762023-01-01202310.1155/2023/9152009A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEASatoshi Takahashi0Masahiro Katsumata1Hirotsugu Nogawa2Kento Takahara3Jin Nakahara4Masahiro Toda5Department of NeurosurgeryDepartment of NeurologyDepartment of NeurosurgeryDepartment of NeurosurgeryDepartment of NeurologyDepartment of NeurosurgeryWe report a patient with a symptomatic intraluminal internal carotid artery thrombus clinically revealed by cerebral infarction. In the preoperative evaluation, it was revealed that essential thrombocythemia existed in the background. Therefore, medical treatment with antithrombotic agents in conjunction with hydroxycarbamide for essential thrombocythemia was initiated, but the thrombus was not dissolved by three weeks. At this time, the patient underwent carotid endarterectomy, which removed the thrombus completely with its adjacent plaque without any perioperative stroke. The possibility of essential thrombocythemia may also be kept in mind when an increased platelet count is observed in patients with internal carotid artery thrombus. It is a reasonable option to precede medical treatment, including anticoagulant therapy, by setting the time limit for surgical intervention in such a disease state.http://dx.doi.org/10.1155/2023/9152009 |
| spellingShingle | Satoshi Takahashi Masahiro Katsumata Hirotsugu Nogawa Kento Takahara Jin Nakahara Masahiro Toda A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA Case Reports in Neurological Medicine |
| title | A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA |
| title_full | A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA |
| title_fullStr | A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA |
| title_full_unstemmed | A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA |
| title_short | A Case of Symptomatic Intraluminal Internal Carotid Artery Thrombus in a Patient with Essential Thrombocythemia Surgically Treated by CEA |
| title_sort | case of symptomatic intraluminal internal carotid artery thrombus in a patient with essential thrombocythemia surgically treated by cea |
| url | http://dx.doi.org/10.1155/2023/9152009 |
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