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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

LetterLETTER
Open Access

Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19?

E. Gulko, W. Gomes, S. Ali, F. Al-Mufti and H. Mehta
American Journal of Neuroradiology August 2020, 41 (8) E65-E66; DOI: https://doi.org/10.3174/ajnr.A6657
E. Gulko
aDepartment of Radiology Division of Neuroradiology
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W. Gomes
aDepartment of Radiology Division of Neuroradiology
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S. Ali
aDepartment of Radiology Division of Neuroradiology
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F. Al-Mufti
bDepartment of Neurology
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H. Mehta
cDepartment of Radiology Division of NeuroradiologyWestchester Medical CenterValhalla, New York
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    Fig 1.

    Axial (A and B) and sagittal MIP (C) images from a CT angiogram in a patient with COVID-19 with right frontal and parietal acute-subacute infarcts. There are eccentric filling defects within the right common carotid artery bifurcation extending into the right internal carotid artery (blue arrows), with creation of a donut sign (yellow arrow). Atherosclerotic changes were not present in the remainder of the intracranial and extracranial arterial vasculature. Findings are suggestive of acute thrombus.

  • Fig 2.
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    Fig 2.

    Axial (A and B) and coronal (C) images from a CT angiogram in a patient presenting with left MCA syndrome and a left middle cerebral artery M1 occlusion. There are eccentric filling defects within the left common carotid artery bifurcation extending into the left internal carotid artery. There are eccentric filling defects within the left common carotid artery bifurcation extending into the left internal carotid artery (blue arrows). Findings are suggestive of acute thrombus.

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American Journal of Neuroradiology: 41 (8)
American Journal of Neuroradiology
Vol. 41, Issue 8
1 Aug 2020
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Cite this article
E. Gulko, W. Gomes, S. Ali, F. Al-Mufti, H. Mehta
Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19?
American Journal of Neuroradiology Aug 2020, 41 (8) E65-E66; DOI: 10.3174/ajnr.A6657

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Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19?
E. Gulko, W. Gomes, S. Ali, F. Al-Mufti, H. Mehta
American Journal of Neuroradiology Aug 2020, 41 (8) E65-E66; DOI: 10.3174/ajnr.A6657
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