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Vol. 62, No. 2, 2009
Issue release date: July 2009
Section title: Original Paper
Eur Neurol 2009;62:72–78
(DOI:10.1159/000222776)

Characteristics and the Fate of Intraluminal Thrombus of the Intracranial and Extracranial Cerebral Arteries in Acute Ischemic Stroke Patients

Choi H.-Y.a · Ye B.S.a · Ahn S.H.a, b · Cho H.J.a · Kim D.-J.c · Kim S.M.a · Heo J.H.a
aDepartment of Neurology, National Core Research Center for Nanomedical Technology, Yonsei University College of Medicine, Seoul, bDepartment of Neurology, Chosun University College of Medicine, Kwangju, and cDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 10/7/2008
Accepted: 9/3/2009
Published online: 6/12/2009
Issue release date: July 2009

Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 1

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: http://www.karger.com/ENE

Abstract

Background: The characteristics and fate of intraluminal thrombus (IT), which may incidentally be detected in acute stroke patients, are not well known and the optimal treatment strategy for IT remains controversial. Methods: We have identified patients with IT in either the extracranial or intracranial artery and followed up on their clinical courses and imaging findings. We categorized it based on its morphology and investigated clinical outcomes and fate of IT in those patients. Results: Among 495 patients with acute ischemic stroke, 9 (1.9%, 8 men, age range of 61–84 years) were identified with IT. Patients with IT could be categorized into three groups: a filling defect (4) during digital subtraction angiography (DSA), a stenosis-mimic lesion on DSA (3), and a mobile mass on carotid duplex (2). All patients had follow-up vascular imaging studies. Complete or partial resolution of IT was seen in 8 patients. Four patients developed transient or minor ischemic symptoms, which were potentially related to IT. Stenosis-mimic lesions and IT adjacent to atherosclerotic plaques appeared to be associated with unstable clinical courses. Conclusions: IT can be categorized according to its morphological features. The outcome may depend on the morphology and location of the IT.

© 2009 S. Karger AG, Basel


  

Author Contacts

Ji Hoe Heo, MD, PhD
Department of Neurology, Yonsei University College of Medicine
250 Seongsan-no
Seodaemoon-gu, Seoul 120-752 (Korea)
Tel. +82 2 2228 1605, Fax +82 2 393 0705, E-Mail jhheo@yuhs.ac

  

Article Information

Received: October 7, 2008
Accepted: March 9, 2009
Published online: June 12, 2009
Number of Print Pages : 7
Number of Figures : 3, Number of Tables : 1, Number of References : 17
Additional supplementary material is available online - Number of Parts : 2

  

Publication Details

European Neurology

Vol. 62, No. 2, Year 2009 (Cover Date: July 2009)

Journal Editor: Bogousslavsky J. (Montreux)
ISSN: 0014-3022 (Print), eISSN: 1421-9913 (Online)

For additional information: http://www.karger.com/ENE


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 10/7/2008
Accepted: 9/3/2009
Published online: 6/12/2009
Issue release date: July 2009

Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 1

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: http://www.karger.com/ENE


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