Carotid Thrombosis in a Crack Cocaine Smoker Woman

Introduction. We report a case of stroke in a crack smoker with occlusion of the middle cerebral artery and a large thrombus in the carotid artery. Case Presentation. A 34-year-old female presented with left upper arm weakness, associated with paresthesia with onset of symptoms more than 24 hours be...

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Main Authors: Mattia Cosenza, Luigi Panza, Anna Paola Califano, Carolina Defendini, Maria D’Andria, Roberto Romiti, Antonio Fabio Massimo Vainieri, Sergio Morelli
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2020/4894825
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author Mattia Cosenza
Luigi Panza
Anna Paola Califano
Carolina Defendini
Maria D’Andria
Roberto Romiti
Antonio Fabio Massimo Vainieri
Sergio Morelli
author_facet Mattia Cosenza
Luigi Panza
Anna Paola Califano
Carolina Defendini
Maria D’Andria
Roberto Romiti
Antonio Fabio Massimo Vainieri
Sergio Morelli
author_sort Mattia Cosenza
collection DOAJ
description Introduction. We report a case of stroke in a crack smoker with occlusion of the middle cerebral artery and a large thrombus in the carotid artery. Case Presentation. A 34-year-old female presented with left upper arm weakness, associated with paresthesia with onset of symptoms more than 24 hours before. Angio-RM sequences showed an area of ischemia, with occlusion of the M2 segment of the middle cerebral artery. Carotid ultrasound showed a soft plaque with distal end floating. Anticoagulant treatment was started, and seriated ultrasound evaluations showed its gradual dissolution. Conclusions. In atherothromboembolic stroke from carotid thrombosis, repeated ultrasound studies may be useful for either diagnosis and monitoring the efficacy of anticoagulant therapy.
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spelling doaj-art-9e08f6d005ea41068b58e0be07cbcf9d2025-02-03T05:52:34ZengWileyCase Reports in Vascular Medicine2090-69862090-69942020-01-01202010.1155/2020/48948254894825Carotid Thrombosis in a Crack Cocaine Smoker WomanMattia Cosenza0Luigi Panza1Anna Paola Califano2Carolina Defendini3Maria D’Andria4Roberto Romiti5Antonio Fabio Massimo Vainieri6Sergio Morelli7Department of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyDepartment of Internal Medicine and Atherosclerosis Prevention, University of Rome, La Sapienza, ItalyIntroduction. We report a case of stroke in a crack smoker with occlusion of the middle cerebral artery and a large thrombus in the carotid artery. Case Presentation. A 34-year-old female presented with left upper arm weakness, associated with paresthesia with onset of symptoms more than 24 hours before. Angio-RM sequences showed an area of ischemia, with occlusion of the M2 segment of the middle cerebral artery. Carotid ultrasound showed a soft plaque with distal end floating. Anticoagulant treatment was started, and seriated ultrasound evaluations showed its gradual dissolution. Conclusions. In atherothromboembolic stroke from carotid thrombosis, repeated ultrasound studies may be useful for either diagnosis and monitoring the efficacy of anticoagulant therapy.http://dx.doi.org/10.1155/2020/4894825
spellingShingle Mattia Cosenza
Luigi Panza
Anna Paola Califano
Carolina Defendini
Maria D’Andria
Roberto Romiti
Antonio Fabio Massimo Vainieri
Sergio Morelli
Carotid Thrombosis in a Crack Cocaine Smoker Woman
Case Reports in Vascular Medicine
title Carotid Thrombosis in a Crack Cocaine Smoker Woman
title_full Carotid Thrombosis in a Crack Cocaine Smoker Woman
title_fullStr Carotid Thrombosis in a Crack Cocaine Smoker Woman
title_full_unstemmed Carotid Thrombosis in a Crack Cocaine Smoker Woman
title_short Carotid Thrombosis in a Crack Cocaine Smoker Woman
title_sort carotid thrombosis in a crack cocaine smoker woman
url http://dx.doi.org/10.1155/2020/4894825
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