Carotid Thrombosis in a Crack Cocaine Smoker Woman.

Abstract

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.

• Authors: Mattia Cosenza, Luigi Panza, Anna Paola Califano, Carolina Defendini, Maria D'Andria, Roberto Romiti, Antonio Fabio Massimo Vainieri, Sergio Morelli
• Journal: Case reports in vascular medicine (Case Rep Vasc Med) Vol. 2020 Pg. 4894825 ( 2020) ISSN: 2090-6986 [Print] United States
• PMID: 33083091 (Publication Type: Case Reports)
• Copyright: Copyright © 2020 Mattia Cosenza et al.