Cancer–Related Stroke due to occlusive thrombus in the common carotid artery: a case report

Authors

  • thanupong aiemwarakit Department of Internal medicine, Kantharalak hospital, Sisaket Thailand
  • Nunnapas Paparkun Department of Internal medicine, Kantharalak hospital, Sisaket Thailand
  • Sitthipan Janpong Department of Neurology, Sisaket hospital, Sisaket Thailand

Keywords:

Acute stroke, Common carotid artery thrombosis, Colorectal cancer

Abstract

Approximately 15% of cancer patients develop cerebrovascular events during the course of their disease, leading to increased mortality and worse outcomes.1 It has been recently been reported that the main mechanism of cancer-related stroke (CRS) is due to hypercoagulopathy.2 In contrast, cases of CRS due to large vessel thrombus have only rare been reported. Moreover, the majority of cerebral ischemic events caused by carotid artery occlusion occur in vessels with severe atherosclerotic disease and plaque rupture. Thus, thrombosis of CCA without evidence of atherosclerosis is uncommon. These non-atherosclerotic carotid thrombi are associated with hypercoagulable states from cancer, oral contraceptives, inflammatory disorders3, or severe iron deficiency anemia and thrombocytosis.4 Here, we report a case of a 52-year-old Thai male with underlying colorectal cancer diagnosed with CRS due to an occlusive thrombus in CCA.

References

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Published

2025-04-28

How to Cite

1.
aiemwarakit thanupong, Paparkun N, Janpong S. Cancer–Related Stroke due to occlusive thrombus in the common carotid artery: a case report. J Thai Stroke Soc [internet]. 2025 Apr. 28 [cited 2025 Dec. 25];24(1):26. available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/273958