Acute internal carotid artery embolism after coronary spastic myocardial infarction in a young adult: a case report

DOI 1 Citations 16 References
  • Nakano Tomonobu
    Department of Neurology, Japanese Red Cross Nagoya First Hospital Stroke Center, Aichi Medical University
  • Goto Yoji
    Department of Neurology, Japanese Red Cross Nagoya First Hospital
  • Mano Kazuo
    Department of Neurology, Japanese Red Cross Nagoya First Hospital
  • Okamoto Takeshi
    Department of Neurosurgery, Japanese Red Cross Nagoya First Hospital
  • Ikeda Hiroshi
    Department of Neurosurgery, Japanese Red Cross Nagoya First Hospital
  • Inao Suguru
    Department of Neurosurgery, Japanese Red Cross Nagoya First Hospital

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  • 冠攣縮性心筋梗塞後に急性内頸動脈塞栓症を生じた若年者の１例

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Abstract

A 42-year-old man exhibiting left-sided hemiparesis and drowsiness was transferred to our hospital. A computed tomography (CT) scan of the head showed no ischemic parenchymal changes. A thorough examination revealed that he had suffered a coronary spastic myocardial infarction about 10 days before admission. Cerebral angiography confirmed right internal carotid artery (ICA) occlusion. Intraarterial (IA) suction thrombectomy followed by local IA fibrinolysis was performed. Subsequently, there was successful recanalization of the cerebral arteries and a favorable recovery. The incidence of coronary spasm is relatively high among Japanese as compared to Caucasians. The mean age is lower in patients with coronary spasm than in those with organic angina. Coronary spastic myocardial infarction is one of the potential risk factors of ischemic stroke among young adults.

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