{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T15:28:35Z","timestamp":1761924515154,"version":"build-2065373602"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,31]]},"DOI":"10.7759\/cureus.95824","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T15:25:21Z","timestamp":1761924321000},"source":"Crossref","is-referenced-by-count":0,"title":["Posterior Circulation Stroke in a Patient With May-Thurner Syndrome and Patent Foramen Ovale: A Case of Paradoxical Embolism"],"prefix":"10.7759","author":[{"given":"Carlos A","family":"Suanes Zubizarreta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Sinnott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehra","family":"Rizvi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariol","family":"Labrada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70310-7","article-title":"Embolic strokes of undetermined source: the case for a new clinical construct","volume":"13","author":"Hart RG","year":"2014","unstructured":"Hart RG, Diener HC, Coutts SB, et al.. Embolic strokes of undetermined source: the case for a new clinical construct. Lancet Neurol. 2014, 13:429-38. 10.1016\/S1474-4422(13)70310-7","journal-title":"Lancet Neurol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182a08d59","article-title":"An index to identify stroke-related vs incidental patent foramen ovale in cryptogenic stroke","volume":"81","author":"Kent DM","year":"2013","unstructured":"Kent DM, Ruthazer R, Weimar C, et al.. An index to identify stroke-related vs incidental patent foramen ovale in cryptogenic stroke. Neurology. 2013, 81:619-25. 10.1212\/WNL.0b013e3182a08d59","journal-title":"Neurology"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1610057","article-title":"Long-term outcomes of patent foramen ovale closure or medical therapy after stroke","volume":"377","author":"Saver JL","year":"2017","unstructured":"Saver JL, Carroll JD, Thaler DE, Smalling RW, MacDonald LA, Marks DS, Tirschwell DL. Long-term outcomes of patent foramen ovale closure or medical therapy after stroke. N Engl J Med. 2017, 377:1022-32. 10.1056\/NEJMoa1610057","journal-title":"N Engl J Med"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1705915","article-title":"Patent foramen ovale closure or anticoagulation vs. antiplatelets after stroke","volume":"377","author":"Mas JL","year":"2017","unstructured":"Mas JL, Derumeaux G, Guillon B, et al.. Patent foramen ovale closure or anticoagulation vs. antiplatelets after stroke. N Engl J Med. 2017, 377:1011-21. 10.1056\/NEJMoa1705915","journal-title":"N Engl J Med"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1707404","article-title":"Patent foramen ovale closure or antiplatelet therapy for cryptogenic stroke","volume":"377","author":"S\u00f8ndergaard L","year":"2017","unstructured":"S\u00f8ndergaard L, Kasner SE, Rhodes JF, et al.. Patent foramen ovale closure or antiplatelet therapy for cryptogenic stroke. N Engl J Med. 2017, 377:1033-42. 10.1056\/NEJMoa1707404","journal-title":"N Engl J Med"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000375","article-title":"2021 guideline for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline from the American Heart Association\/American Stroke Association","volume":"52","author":"Kleindorfer DO","year":"2021","unstructured":"Kleindorfer DO, Towfighi A, Chaturvedi S, et al.. 2021 guideline for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline from the American Heart Association\/American Stroke Association. Stroke. 2021, 52:e364-467. 10.1161\/STR.0000000000000375","journal-title":"Stroke"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.21037\/cdt.2020.03.07","article-title":"May-Thurner syndrome","volume":"11","author":"Poyyamoli S","year":"2021","unstructured":"Poyyamoli S, Mehta P, Cherian M, Anand RR, Patil SB, Kalva S, Salazar G. May-Thurner syndrome. Cardiovasc Diagn Ther. 2021, 11:1104-11. 10.21037\/cdt.2020.03.07","journal-title":"Cardiovasc Diagn Ther"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S203349","article-title":"Iliac vein compression: epidemiology, diagnosis and treatment","volume":"15","author":"Radaideh Q","year":"2019","unstructured":"Radaideh Q, Patel NM, Shammas NW. Iliac vein compression: epidemiology, diagnosis and treatment. Vasc Health Risk Manag. 2019, 15:115-22. 10.2147\/VHRM.S203349","journal-title":"Vasc Health Risk Manag"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.03.015","article-title":"A comparison between intravascular ultrasound and venography in identifying key parameters essential for iliac vein stenting","volume":"7","author":"Montminy ML","year":"2019","unstructured":"Montminy ML, Thomasson JD, Tanaka GJ, Lamanilao LM, Crim W, Raju S. A comparison between intravascular ultrasound and venography in identifying key parameters essential for iliac vein stenting. J Vasc Surg Venous Lymphat Disord. 2019, 7:801-7. 10.1016\/j.jvsv.2019.03.015","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.5468","article-title":"May-Thurner syndrome and patent foramen ovale: a rare etiology of cryptogenic stroke","volume":"11","author":"Phelps BJ","year":"2019","unstructured":"Phelps BJ, Boutin O, Patel U, King C. May-Thurner syndrome and patent foramen ovale: a rare etiology of cryptogenic stroke. Cureus. 2019, 11:e5468. 10.7759\/cureus.5468","journal-title":"Cureus"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/3625401","article-title":"May-Thurner syndrome as a rare cause of paradoxical embolism in a patient with patent foramen ovale","volume":"2018","author":"Zoltowska DM","year":"2018","unstructured":"Zoltowska DM, Thind G, Agrawal Y, Gupta V, Kalavakunta JK. May-Thurner syndrome as a rare cause of paradoxical embolism in a patient with patent foramen ovale. Case Rep Cardiol. 2018, 2018:3625401. 10.1155\/2018\/3625401","journal-title":"Case Rep Cardiol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-215213","article-title":"EULAR recommendations for the management of antiphospholipid syndrome in adults","volume":"78","author":"Tektonidou MG","year":"2019","unstructured":"Tektonidou MG, Andreoli L, Limper M, et al.. EULAR recommendations for the management of antiphospholipid syndrome in adults. Ann Rheum Dis. 2019, 78:1296-304. 10.1136\/annrheumdis-2019-215213","journal-title":"Ann Rheum Dis"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0000000000000925","article-title":"Is it time to move on from pelvic radiography as the first-line imaging modality for suspected sacroiliitis?","volume":"35","author":"Eshed I","year":"2023","unstructured":"Eshed I, Diekhoff T, Hermann KG. Is it time to move on from pelvic radiography as the first-line imaging modality for suspected sacroiliitis?. Curr Opin Rheumatol. 2023, 35:219-25. 10.1097\/BOR.0000000000000925","journal-title":"Curr Opin Rheumatol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.12.032","article-title":"Iliac vein compression in an asymptomatic patient population","volume":"39","author":"Kibbe MR","year":"2004","unstructured":"Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg. 2004, 39:937-43. 10.1016\/j.jvs.2003.12.032","journal-title":"J Vasc Surg"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800521028","article-title":"The iliac compression syndrome","volume":"52","author":"Cockett FB","year":"1965","unstructured":"Cockett FB, Thomas ML. The iliac compression syndrome. Br J Surg. 1965, 52:816-21. 10.1002\/bjs.1800521028","journal-title":"Br J Surg"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s42155-023-00354-1","article-title":"Deep venous stenting in females","volume":"6","author":"O'Sullivan G","year":"2023","unstructured":"O'Sullivan G, Smith S. Deep venous stenting in females. CVIR Endovasc. 2023, 6:14. 10.1186\/s42155-023-00354-1","journal-title":"CVIR Endovasc"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.574400","article-title":"Embolus trajectory through a physical replica of the major cerebral arteries","volume":"41","author":"Chung EM","year":"2010","unstructured":"Chung EM, Hague JP, Chanrion MA, Ramnarine KV, Katsogridakis E, Evans DH. Embolus trajectory through a physical replica of the major cerebral arteries. Stroke. 2010, 41:647-52. 10.1161\/STROKEAHA.109.574400","journal-title":"Stroke"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s10237-014-0561-0","article-title":"Computational modelling of emboli travel trajectories in cerebral arteries: influence of microembolic particle size and density","volume":"13","author":"Fabbri D","year":"2014","unstructured":"Fabbri D, Long Q, Das S, Pinelli M. Computational modelling of emboli travel trajectories in cerebral arteries: influence of microembolic particle size and density. Biomech Model Mechanobiol. 2014, 13:289-302. 10.1007\/s10237-014-0561-0","journal-title":"Biomech Model Mechanobiol"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3988\/jcn.2005.1.1.14","article-title":"New England medical center posterior circulation stroke registry: I. Methods, data base, distribution of brain lesions, stroke mechanisms, and outcomes","volume":"1","author":"Caplan L","year":"2005","unstructured":"Caplan L, Chung CS, Wityk R, et al.. New England medical center posterior circulation stroke registry: I. Methods, data base, distribution of brain lesions, stroke mechanisms, and outcomes. J Clin Neurol. 2005, 1:14-30. 10.3988\/jcn.2005.1.1.14","journal-title":"J Clin Neurol"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.112.677039","article-title":"Neuroimaging findings in cryptogenic stroke patients with and without patent foramen ovale","volume":"44","author":"Thaler DE","year":"2013","unstructured":"Thaler DE, Ruthazer R, Di Angelantonio E, et al.. Neuroimaging findings in cryptogenic stroke patients with and without patent foramen ovale. Stroke. 2013, 44:675-80. 10.1161\/STROKEAHA.112.677039","journal-title":"Stroke"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.002459","article-title":"Imaging characteristics of ischemic strokes related to patent foramen ovale","volume":"44","author":"Kim BJ","year":"2013","unstructured":"Kim BJ, Sohn H, Sun BJ, Song JK, Kang DW, Kim JS, Kwon SU. Imaging characteristics of ischemic strokes related to patent foramen ovale. Stroke. 2013, 44:3350-6. 10.1161\/STROKEAHA.113.002459","journal-title":"Stroke"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1159\/000505616","article-title":"Distribution of cardioembolic stroke: a cohort study","volume":"49","author":"Pierik R","year":"2020","unstructured":"Pierik R, Algra A, van Dijk E, et al.. Distribution of cardioembolic stroke: a cohort study. Cerebrovasc Dis. 2020, 49:97-104. 10.1159\/000505616","journal-title":"Cerebrovasc Dis"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-12-185","article-title":"The Risk of Paradoxical Embolism (RoPE) study: developing risk models for application to ongoing randomized trials of percutaneous patent foramen ovale closure for cryptogenic stroke","volume":"12","author":"Kent DM","year":"2011","unstructured":"Kent DM, Thaler DE. The Risk of Paradoxical Embolism (RoPE) study: developing risk models for application to ongoing randomized trials of percutaneous patent foramen ovale closure for cryptogenic stroke. Trials. 2011, 12:185. 10.1186\/1745-6215-12-185","journal-title":"Trials"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1159\/000376613","article-title":"Prevalence of pelvic vein pathology in patients with cryptogenic stroke and patent foramen ovale undergoing MRV pelvis","volume":"39","author":"Osgood M","year":"2015","unstructured":"Osgood M, Budman E, Carandang R, Goddeau RP Jr, Henninger N. Prevalence of pelvic vein pathology in patients with cryptogenic stroke and patent foramen ovale undergoing MRV pelvis. Cerebrovasc Dis. 2015, 39:216-23. 10.1159\/000376613","journal-title":"Cerebrovasc Dis"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/412837-posterior-circulation-stroke-in-a-patient-with-may-thurner-syndrome-and-patent-foramen-ovale-a-case-of-paradoxical-embolism","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T15:25:22Z","timestamp":1761924322000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/412837-posterior-circulation-stroke-in-a-patient-with-may-thurner-syndrome-and-patent-foramen-ovale-a-case-of-paradoxical-embolism"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":24,"URL":"https:\/\/doi.org\/10.7759\/cureus.95824","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10,31]]}}}