缺血性中风和对侧颈内动脉漂浮血栓：药物治疗还是侵入性治疗？

Q4 Medicine

Neurologia Argentina Pub Date : 2024-07-01 DOI:10.1016/j.neuarg.2024.08.006

Alejandro Arango Martínez , Julián Mauricio Jiménez Álvarez , Luisa Fernanda Giraldo Ballesteros , Henry Quevedo Flórez , Juan Carlos Arrieta Bechara , Rafael Ignacio Herrera Ramos

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引用次数: 0

摘要

导言游离性颈动脉血栓是一种罕见病，通常是在急性神经血管综合征的病因研究中发现的。临床病例我们描述了一例右侧大脑中动脉缺血性脑血管病患者，偶然发现左侧颈内动脉有游离性血栓，经肝素和抗血小板药物治疗后成功治愈。结论颈动脉血栓形成是一种罕见病，由于没有统一的治疗指南，因此在治疗上是一个真正的挑战；不过，在大多数病例中，基于抗凝的策略是安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Accidente cerebrovascular isquémico y trombo flotante de la arteria carótida interna contralateral: ¿manejo médico o invasivo?

Introduction

A free-floating carotid thrombus is a rare entity usually detected in the etiological study of an acute neurovascular syndrome.

Clinical case

We describe the case of a patient with ischemic cerebrovascular disease in the territory of the right middle cerebral artery with an incidental finding of a floating thrombus in the left internal carotid successfully treated with heparin and antiplatelet agents.

Conclusions

Carotid thrombosis is a rare entity. It represents a real therapeutic challenge as there are no unified treatment guidelines; however, the strategy based on anticoagulation is safe in most cases.

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来源期刊

Neurologia Argentina Medicine-Neurology (clinical)

CiteScore

0.50

自引率

0.00%

发文量

期刊介绍： Neurología Argentina es la publicación oficial de la Sociedad Neurológica Argentina. Todos los artículos, publicados en español, son sometidos a un proceso de revisión sobre ciego por pares con la finalidad de ofrecer información original, relevante y de alta calidad que abarca todos los aspectos de la Neurología y la Neurociencia.