Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes

We present a case of 72-year-old male with reported past medical history of recurrent transient ischemic attacks (TIAs) presenting with myriad of neurological symptoms. Patient was transferred from outlying hospital with complaints of right sided facial droop and dysarthria. Computed tomography angi...

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Main Authors: Moni Roy, Ashish Kumar Roy, Jeffrey R. DeSanto, Murad Abdelsalam
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/4932567
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author Moni Roy
Ashish Kumar Roy
Jeffrey R. DeSanto
Murad Abdelsalam
author_facet Moni Roy
Ashish Kumar Roy
Jeffrey R. DeSanto
Murad Abdelsalam
author_sort Moni Roy
collection DOAJ
description We present a case of 72-year-old male with reported past medical history of recurrent transient ischemic attacks (TIAs) presenting with myriad of neurological symptoms. Patient was transferred from outlying hospital with complaints of right sided facial droop and dysarthria. Computed tomography angiography (CTA) showed high grade proximal left internal carotid artery (ICA) stenosis along with interesting finding of a free floating thrombus (FFT) in the left ICA. After discussion with the neurosurgical team, our case was treated conservatively with combination of antiplatelet therapy with Aspirin and anticoagulation with Warfarin without recurrence of TIAs or strokes on six-month follow-up.
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series Case Reports in Medicine
spelling doaj-art-a315b420abe84e3b97b3e36618a7ac972025-02-03T05:51:52ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/49325674932567Free Floating Thrombus in Carotid Artery in a Patient with Recurrent StrokesMoni Roy0Ashish Kumar Roy1Jeffrey R. DeSanto2Murad Abdelsalam3Department of Internal Medicine, University of Illinois College of Medicine, OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL, USADepartment of Internal Medicine, University of Illinois College of Medicine, OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL, USADepartment of Internal Medicine, University of Illinois College of Medicine, OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL, USADepartment of Cardiology, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Pontiac, MI, USAWe present a case of 72-year-old male with reported past medical history of recurrent transient ischemic attacks (TIAs) presenting with myriad of neurological symptoms. Patient was transferred from outlying hospital with complaints of right sided facial droop and dysarthria. Computed tomography angiography (CTA) showed high grade proximal left internal carotid artery (ICA) stenosis along with interesting finding of a free floating thrombus (FFT) in the left ICA. After discussion with the neurosurgical team, our case was treated conservatively with combination of antiplatelet therapy with Aspirin and anticoagulation with Warfarin without recurrence of TIAs or strokes on six-month follow-up.http://dx.doi.org/10.1155/2017/4932567
spellingShingle Moni Roy
Ashish Kumar Roy
Jeffrey R. DeSanto
Murad Abdelsalam
Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes
Case Reports in Medicine
title Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes
title_full Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes
title_fullStr Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes
title_full_unstemmed Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes
title_short Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes
title_sort free floating thrombus in carotid artery in a patient with recurrent strokes
url http://dx.doi.org/10.1155/2017/4932567
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