%0 Journal Article
%T Acidente vascular cerebral de etiologia rara com indica£¿£¿o cir¨²rgica urgente: caso cl¨ªnico
%A Baptista
%A Ana Vieira
%A Fonseca
%A Manuel
%A Freitas
%A Jo£¿o Sargento
%A Antunes
%A Lu¨ªs
%A Moreira
%A Joana
%A Anacleto
%A Gabriel
%A Alegrio
%A Jo£¿o
%A Gon£¿alves
%A ¨®scar
%A Matos
%A Albuquerque
%J Angiologia e Cirurgia Vascular
%D 2012
%I Sociedade Portuguesa de Angiologia e Cirurgia Vascular
%X 19 years old patient with fever for 8 days associated with sudden aphasia, left hemiparesis and abnormal behavior. increased acute phase proteins in the analytical study. head ct scan and mri revealed a right temporo-parietal ischemic lesion. an echocardiogram excluded endocarditis. ultrasound and ct angiography scanning of the extracranial cerebral circulation showed a vegetative formation, mobile with the heartbeat, in the right common carotid artery. submitted, urgently, to carotid surgery. intraoperatively, a slightly adherent thrombus to the common carotid artery was found and in the dependence of an underlying injury to the intima. the thrombus was ressected and a primary arteriorrhaphy performed. it is pointed out a vasculitis secondary to hsv1 (active infection) or to rickettsia conorii infection as the most likely etiology of the clinic.
%K stroke
%K urgent
%K carotid surgery
%K vasculitis
%K hsv1
%K rickettsia conorii.
%U http://www.scielo.gpeari.mctes.pt/scielo.php?script=sci_abstract&pid=S1646-706X2012000100002&lng=en&nrm=iso&tlng=en