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"Hyperechogenic Rim" Sign in Internal Carotid Artery Thrombus

"Hyperechogenic Rim" Sign in Internal Carotid Artery Thrombus IMAGES IN NEUROLOGY “Hyperechogenic Rim” Sign in Internal Carotid Artery Thrombus DHERENT INTERNAL completely dissolved within the fol- its size remained unchanged (Figure carotid artery (ICA) lowing 3 to 5 days. 1E),thethrombusdemonstratedahy- thrombi constitute a Patient 1 was a 59-year-old man poechogenic core surrounded by an rare entity in pa- withhypertensionwhowasasmoker. obvious hyperechogenic rim (Figure A tients with stroke. ThepatienthadawakenedwithBroca 1F, arrowheads), probably reflecting Management, whether surgical dysphasiaandarightfaciobrachialsen- changes in its consistency. Within 5 (thrombectomy) or conservative sorimotor deficit (National Institutes days,thethrombushadcompletelydis- (anticoagulation), still relies on the of Health [NIH] Stroke Scale score of solvedwithoutcomplications(Figure experience and personal beliefs of 6). Cranial computed tomography 1G and H) and the patient improved the treating physician. We describe (CT) with perfusion 5 hours later progressively during the following 2 2 patients who were treated with in- showedacuteleftfrontoparietalische- weekswhilereceivingintravenoushep- travenous heparin sodium. In these mia. Color Doppler flow imaging re- arin therapy (NIH Stroke Scale score patients, serial carotid ultrasound ex- vealedanisoechogenictohyperecho- of 2, modified Rankin scale score of 1 amination findings demonstrated genicthrombusintheleftcarotidbulb at days 7 and 14). Findings on echo- changes in the consistency of the (Figure1A,arrows)extendingtothe cardiography showed a minor patent thrombi and, in particular, demon- proximalICA(Figure1B).Computed foramen ovale. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/archneur.61.5.773
pmid
15148158
Publisher site
See Article on Publisher Site

Abstract

IMAGES IN NEUROLOGY “Hyperechogenic Rim” Sign in Internal Carotid Artery Thrombus DHERENT INTERNAL completely dissolved within the fol- its size remained unchanged (Figure carotid artery (ICA) lowing 3 to 5 days. 1E),thethrombusdemonstratedahy- thrombi constitute a Patient 1 was a 59-year-old man poechogenic core surrounded by an rare entity in pa- withhypertensionwhowasasmoker. obvious hyperechogenic rim (Figure A tients with stroke. ThepatienthadawakenedwithBroca 1F, arrowheads), probably reflecting Management, whether surgical dysphasiaandarightfaciobrachialsen- changes in its consistency. Within 5 (thrombectomy) or conservative sorimotor deficit (National Institutes days,thethrombushadcompletelydis- (anticoagulation), still relies on the of Health [NIH] Stroke Scale score of solvedwithoutcomplications(Figure experience and personal beliefs of 6). Cranial computed tomography 1G and H) and the patient improved the treating physician. We describe (CT) with perfusion 5 hours later progressively during the following 2 2 patients who were treated with in- showedacuteleftfrontoparietalische- weekswhilereceivingintravenoushep- travenous heparin sodium. In these mia. Color Doppler flow imaging re- arin therapy (NIH Stroke Scale score patients, serial carotid ultrasound ex- vealedanisoechogenictohyperecho- of 2, modified Rankin scale score of 1 amination findings demonstrated genicthrombusintheleftcarotidbulb at days 7 and 14). Findings on echo- changes in the consistency of the (Figure1A,arrows)extendingtothe cardiography showed a minor patent thrombi and, in particular, demon- proximalICA(Figure1B).Computed foramen ovale.

Journal

JAMA NeurologyAmerican Medical Association

Published: May 1, 2004

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