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Updated: May 9, 2026

Analysis of Cerebral Vasospasm in a Murine Model of Subarachnoid Hemorrhage with High Frequency Transcranial Duplex Ultrasound
Published on: June 3, 2021
Cerebral arterial thrombosis in ulcerative colitis
Giovanni Casella1, Claudio Camillo Cortelezzi, Delodovici Marialuisa
1Medical Department, Desio Hospital, Via Mazzini, 20033 Desio Monza e Brianza, Italy.
Inflammatory bowel disease (IBD) can cause rare arterial thrombosis. A young man with ulcerative colitis experienced a cerebral artery clot, successfully treated with intraarterial thrombolysis.
Area of Science:
- Gastroenterology
- Neurology
- Vascular Medicine
Background:
- Thrombosis is a known, though uncommon, extraintestinal manifestation of inflammatory bowel disease (IBD).
- Venous thromboembolism is more frequently associated with IBD than arterial events.
- Inflammatory bowel disease encompasses conditions like ulcerative colitis and Crohn's disease.
Purpose of the Study:
- To report a rare case of arterial thrombosis in a patient with ulcerative colitis and sclerosing cholangitis.
- To highlight the potential for cerebral arterial thrombosis as an extraintestinal manifestation of IBD.
- To review the existing literature on arterial thrombosis in IBD patients.
Main Methods:
- Case report of a 25-year-old Caucasian male with ulcerative colitis and sclerosing cholangitis.
- Description of an episode of right middle cerebral arterial thrombosis.
- Intervention with intraarterial thrombolysis for clot resolution.
Main Results:
- Successful resolution of right middle cerebral arterial thrombosis following intraarterial thrombolysis.
- The patient had coexisting ulcerative colitis and sclerosing cholangitis.
- The arterial thrombosis was considered an extraintestinal manifestation of IBD.
Conclusions:
- Arterial thrombosis, including cerebral events, can occur in patients with inflammatory bowel disease.
- Intraarterial thrombolysis is a viable treatment option for acute cerebral arterial thrombosis in IBD patients.
- Further research is warranted to understand the mechanisms and prevalence of arterial thrombosis in IBD.
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