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Delayed stroke following carotid occlusion

Department of Neurology, Veterans Administration Hospital, University of California, San Francisco (Drs. Finklestein, Cuneo, and Baringer), and Neuropathology Laboratory, Massachusetts General Hospital, Boston (Dr. Kleinman).

A 60-year-old patient suffered a lethal hemispheric infarction 3 days after angiographically documented occlusion of the ipsilateral cervical internal carotid artery and while receiving anticoagulant therapy. Pathologic evidence is consistent with embolism from the distal "tail" of a propagated carotid thrombus as the mechanism of his stroke.

Address correspondence and reprint requests to Dr. Finklestein, Neurology Department, Massachusetts General Hospital, Boston, MA 02115.

Accepted for publication June 15, 1979.

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