Isolated Internal Carotid Artery Thrombus and Cerebral Infarction in a Patient with Necrotizing Pancreatitis: Case Report.
Publication/Presentation Date
1-1-2018
Abstract
Isolated internal carotid artery (ICA) thrombus in the absence of underlying atherosclerotic disease is a rare entity. We report a case of a patient presenting with right arm weakness, slurred speech, and altered mental status in the setting of acute on chronic pancreatitis. The patient was found to have scattered left cerebral hemisphere cortical infarctions, and catheter angiography confirmed the presence of intraluminal left ICA thrombus, with no evidence of atherosclerotic disease in the cervical or intracranial vasculature. Further workup also demonstrated the presence of anemia of chronic disease. The patient was initiated on anticoagulation, and follow-up imaging demonstrated a complete resolution of the left ICA thrombus. In the reported case, coagulopathy in the setting of acute on chronic pancreatitis was presumably the primary etiology. Anemia of chronic disease, related to a proinflammatory state, may also play a contributory role.
Volume
27
Issue
1
First Page
1
Last Page
1
ISSN
1532-8511
Published In/Presented At
Ludwig, D. R., Austin, M. J., Wallace, A. N., Kamran, M., Kansagra, A. P., Osbun, J. W., Cross, D. T., & Moran, C. J. (2018). Isolated Internal Carotid Artery Thrombus and Cerebral Infarction in a Patient with Necrotizing Pancreatitis: Case Report. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 27(1), e1–e4. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.08.012
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
28893576
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article