A case of recurrent stroke with carotid-web despite dabigatran treatment successfully treated by carotid endarterectomy
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- M.D. Okata Takuya
- Department of Neurology, Japanese Red Cross Fukuoka Hospital
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- M.D., Ph.D. Yoshioka Tsutomu
- Department of Neurosurgery, Japanese Red Cross Fukuoka Hospital
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- M.D., Ph.D. Wakisaka Yoshinobu
- Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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- M.D., Ph.D. Ago Tetsuro
- Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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- M.D., Ph.D. Ogata Toshiyasu
- Department of Neurology, Japanese Red Cross Fukuoka Hospital
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- M.D., Ph.D. Kitayama Jiro
- Department of Neurology, Japanese Red Cross Fukuoka Hospital
Bibliographic Information
- Other Title
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- ダビガトラン内服下で脳梗塞を再発し頸動脈内膜剝離術を施行したcarotid webの1例
Description
<p>We present a case of a 41-year-old female presenting with recurrence of ischemic stroke on subtherapeutic doses of dabigatran. She had a history of embolic stroke of undetermined sources at the age of 40, and underwent implantable cardiac monitor implantation and had started dabigatran. One year after the first ischemic stroke, she presented with sudden dysarthria and left hemiparesis and was admitted to our hospital. An MRI of the head revealed acute cerebral infarction in the right corona radiata, and an MR angiography revealed right M2 occlusion. Cervical 3D-CTA revealed a protruding structure on the posterior wall of the carotid artery bulb, which was diagnosed as carotid web. She underwent carotid endarterectomy, and the specimen was pathologically confirmed to be vascular malformation due to fibromuscular dysplasia.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 63 (9), 577-581, 2023
Societas Neurologica Japonica