항인지질항체증후군 환자에서 경동맥 부동혈전에 의한반복적인 허혈뇌졸중
Recurrent Ischemic Stroke by Carotid Free-Floating Thrombus in Patient with Antiphospholipid Antibody Syndrome
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Carotid free-floating thrombus (FFT) is a rare cause of stroke. The FFT is commonly associated with an atherosclerotic plaque rupture, but other causes need to be examined in young patients. We report a case of 31-year-old male patient with recurrent ischemic stroke caused by carotid FFT. Although initial laboratory test was unremarkable, recurrent stroke events led us to perform additional study and antiphospholipid syndrome (APLS) was diagnosed. Repetitive testing for APLS seems considerable when young patients present with recurrent stroke.
Abstract
Carotid free-floating thrombus (FFT) is a rare cause of stroke. The FFT is commonly associated with an atherosclerotic plaque rupture, but other causes need to be examined in young patients. We report a case of 31-year-old male patient with recurrent ischemic stroke caused by carotid FFT. Although initial laboratory test was unremarkable, recurrent stroke events led us to perform additional study and antiphospholipid syndrome (APLS) was diagnosed. Repetitive testing for APLS seems considerable when young patients present with recurrent stroke.
참고문헌 (10)
- Smajlović D, "Strokes in young adults : epidemiology and prevention", Vasc Health Risk Managt, 11, pp.157~164 (2015)
- Rodrigues CE, "Neurological manifestations of antiphospholipid syndrome", Eur J Clin Invest, 40, pp.350~359 (2010)
- Elijovich L, "Medical management of free-floating carotid thrombus", Clin Neurol Neurosurg, 115, pp.1532~1535 (2013)
- Bhatti AF, "Free-floating thrombus of the carotid artery : literature review and case reports", J Vasc Surg, 45, pp.199~205 (2007)
- La Spada M, "A big floating thrombus in the common carotid artery", J Cardiovasc Med, 12, pp.819~820 (2011)
- Afsharfard A, "Carotid free-floating thrombus causing stroke in a young woman with lupus anticoagulant : a case report and review of the literature", Int J Surg Case Rep, 33, pp.35~37 (2017)
- Corban MT, "Antiphospholipid syndrome : role of vascular endothelial cells and implications for risk stratification and targeted therapeutics", J Am Coll Cardiol, 69, pp.2317~2330 (2017)
- Kernan WN, "Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack : a guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2014, pp.45, 2160~2236
- "Clinical Practice Guidelines for Stroke" (2013)[URL]
- Erkan D, "14th international congress on antiphospholipid antibodies : task force report on antiphospholipid syndrome treatment trends", Autoimmun Rev, 13, pp.685~696 (2014)