DOI: 10.36347/sjmcr.2022.v10i12.024

Pages: 1238-1239

Free floating thrombus (FFT) in the carotid artery is an uncommon finding and rarely reported in the literature. Less than 150 cases have been reported in the literature. We report a case of 38-year-old patient, with iron deficiency anemia under martial therapy, who presented internal carotid artery thrombosis with ischemic stroke of the superficial territory of the right middle cerebral artery. The etiological assessment did not find any cause apart from an iron deficiency anemia at 6.6g / dl. The patient was put on anticoagulant treatment with good clinical improvement (progressive recovery of motor activity) radiological (partial re-stabilization of the right internal carotid artery). We present one case with FFT suffering from anemia, with no atherosclerotic disease, managed successfully with a medical approach.