대한신경과학회지 (Journal of the Korean neurological association)

  • 제36권4호
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  • Pages.333-336
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  • 2018
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  • 1225-7044(pISSN)
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  • 2288-985X(eISSN)
대한신경과학회 (Korean Neurological Association)
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항인지질항체증후군 환자에서 경동맥 부동혈전에 의한 반복적인 허혈뇌졸중

Recurrent Ischemic Stroke by Carotid Free-Floating Thrombus in Patient with Antiphospholipid Antibody Syndrome

  • 김기홍 (경북대학교 의과대학 신경과학교실) ;
  • 이호철 (경북대학교 의과대학 신경과학교실) ;
  • 황양하 (경북대학교 의과대학 신경과학교실) ;
  • 김용원 (경북대학교 의과대학 신경과학교실)
  • Kim, Ki-Hong (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Lee, Ho-Cheol (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Hwang, Yang-Ha (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Kim, Yong-Won (Department of Neurology, School of Medicine, Kyungpook National University)
  • 투고 : 2018.06.17
  • 심사 : 2018.07.23
  • 발행 : 2018.11.30
⟨ 이전 논문 다음 논문 ⟩

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.

키워드

참고문헌

  1. Smajlovic D. Strokes in young adults: epidemiology and prevention. Vasc Health Risk Managt 2015;11:157-164.
  2. Rodrigues CE, Carvalho JF, Shoenfeld Y. Neurological manifestations of antiphospholipid syndrome. Eur J Clin Invest 2010;40:350-359. https://doi.org/10.1111/j.1365-2362.2010.02263.x
  3. Elijovich L, Mainali S, Doss V, Arthur A, Watridge C. Medical management of free-floating carotid thrombus. Clin Neurol Neurosurg 2013;115:1532-1535. https://doi.org/10.1016/j.clineuro.2012.12.017
  4. Bhatti AF, Leon LR Jr, Labropoulos N, Rubinas TL, Rodriguez H, Kalman PG, et al. Free-floating thrombus of the carotid artery: literature review and case reports. J Vasc Surg 2007;45:199-205. https://doi.org/10.1016/j.jvs.2006.09.057
  5. La Spada M, Stilo F, Barilla D, Spinelli F. A big floating thrombus in the common carotid artery. J Cardiovasc Med 2011;12:819-820. https://doi.org/10.2459/JCM.0b013e32834ba0d4
  6. Afsharfard A, Gholizadeh B, Abdolalian Y, Hosseini SM. 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 2017;33:35-37. https://doi.org/10.1016/j.ijscr.2017.01.067
  7. Corban MT, Duarte-Garcia A, McBane RD, Matteson EL, Lerman LO, Lerman A. Antiphospholipid syndrome: role of vascular endothelial cells and implications for risk stratification and targeted therapeutics. J Am Coll Cardiol 2017;69:2317-2330.
  8. Kernan WN, Ovbiagele B, black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, et al. 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. Stroke 2014;45:2160-2236. https://doi.org/10.1161/STR.0000000000000024
  9. Clinical Research Center for Stroke. Clinical Practice Guidelines for Stroke. [online] 2013 [cited 2018 May 1]. Available from: URL:http://www.stroke.or.kr/guidelines/.
  10. Erkan D, Aguiar CL, Andrade D, Cohen H, Cuadrado MJ, Danowski A, et al. 14th international congress on antiphospholipid antibodies: task force report on antiphospholipid syndrome treatment trends. Autoimmun Rev 2014;13:685-696. https://doi.org/10.1016/j.autrev.2014.01.053