A Case of Multifocal Cerebral Infarction Caused by Large Mobile Thrombus at the Aortic Arch
Doo-Hyun Kim, MD and Se-Jin Lee, MD
Department of Neurology, Yeungnam University College of Medicine, Daegu, Korea
ABSTRACT
Background: Mobile thrombus at the aortic arch is a rare but potential cardioembolic source of ischemic stroke. Case Report: A 41- year-old man presented with vertigo and postural instability. Brain MRI showed acute infarction at the both cerebellar hemisphere and right side of lateral medulla. Transesophageal echocardiogram and computerized tomography (CT) of heart and aorta showed a large mobile thrombus at the isthmic portion of distal aortic arch. We performed anticoagulation therapy and large oscillating mass disappeared on follow-up CT at 46 days. Conclusions: We report a case of multiple cerebellar and medullar infarction caused by a huge mobile thrombus at the aor-tic arch successfully managed with anticoagulation therapy.
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