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Mucor Thrombus.

E L Scharf1, H J Cloft2, E Wijdicks2

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Summary
This summary is machine-generated.

This study details a rare case of ischemic stroke caused by angioinvasive mucormycosis. Endovascular stenting successfully restored blood flow and resolved patient aphasia.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Angioinvasive mucormycosis is a rare fungal infection.
  • It can lead to severe complications like ischemic stroke.
  • This case highlights a unique presentation involving the internal carotid artery.

Observation:

  • A patient presented with ischemic cerebral infarction due to angioinvasive mucormycosis.
  • The infection externally compressed and invaded the internal carotid artery.
  • Mycotic thrombus was retrieved using a stent retriever, with pathological confirmation.

Findings:

  • Endovascular stenting successfully recanalized the thrombosed and compressed internal carotid artery segment.
  • Cerebral blood flow was restored, leading to the resolution of the patient's aphasia.
  • CT angiography artifacts can overestimate arterial occlusions.

Implications:

  • Endovascular stenting offers a viable treatment for internal carotid artery occlusion secondary to angioinvasive mucormycosis.
  • This intervention can improve neurological outcomes in affected patients.
  • It may serve as a palliative measure for complex rhino-cerebro-orbital mucormycosis cases.