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• Vol.60 No.5
• CLINICA NEUROL, 60: 340−345, 2020
• Vol.60 No.5 contents

Case Report

A fungus in a thrombus by mechanical thrombectomy in acute cerebral infarction: a case report

Takehiro Katano, M.D.¹⁾, Yuki Sakamoto, M.D., Ph.D.¹⁾, Shinobu Kunugi, M.D., Ph.D.²⁾, Yasuhiro Nishiyama, M.D.¹⁾, Akira Shimizu, M.D., Ph.D.²⁾ and Kazumi Kimura, M.D., Ph.D.¹⁾

¹⁾Department of Neurology, Nippon Medical School Hospital
²⁾Department of Pathology, Nippon Medical School Hospital

A 88-year-old man suddenly presented with aphasia and right hemiparesis. The diffusion-weighted image of MRI showed ischemic lesions on the left middle cerebral artery area, and MRA showed the left intracranial artery (ICA) occlusion. Therefore, we diagnosed him as having acute ischemic stroke and treated with mechanical thrombectomy (MT). The DWI of MRI showed ischemic lesions on the left middle cerebral artery area, and MRA showed the left ICA occlusion. Therefore, we performed MT and continued best medical treatment, but ICA was reoccluded. Six day later, aspergillus was found in the thrombus from ICA. Then, we considered that ICA occlusion was caused by aspergillus. We experienced a patient specified the cause by thrombus pathology. The pathological diagnosis of the thrombus getting by MT is usefulness for stroke etiology.
Full Text of this Article in Japanese PDF (1429K)

(CLINICA NEUROL, 60: 340−345, 2020)
key words: acute ischemic stroke, mechanical thrombectomy, thrombus, pathology, aspergillus

(Received: 5-Dec-19)