Carotid free-floating thrombus

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Sudden onset of aphasia and right sided hemiparesis for 3 days.

Patient Data

Age: 20 years
Gender: Male

Carotid Doppler

ultrasound

Large free-floating thrombus in the left internal carotid artery with resultant more than 60% occlusion of its lumen.

Case Discussion

Free floating thrombus in the internal carotid artery is very rare in young adults. Brain CT images demonstrated ischemic changes in left cerebral hemisphere (images not available for upload).

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