Spontaneous cerebral calcific embolus from the aortic arch.
Spontaneous calcific embolism is an uncommon cause of stroke. In most cases calcified cardiac valves are the sources of the emboli although embolization of calcific material from the brachiocephalic trunk has also been described. We report a case of stroke attributable to spontaneous calcific emboli from the aortic arch in which migration of the emboli was observed along the middle cerebral artery following iv tPA.
Acha
Olga
O
UARH (Short Stay Unit), University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain.
Novo
Francisco
F
Espina
Belen
B
Marco
Enrique
E
Rebollo
Mariano
M
Tejido
Rafael
R
D000368:Aged; D001013:Aorta, Thoracic / Q000473:pathology*; D002137:Calculi / Q000188:drug therapy / Q000473:pathology*; D004452:Echocardiography; D004617:Embolism / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology; D010960:Plasminogen Activators / Q000627:therapeutic use; D020521:Stroke / Q000188:drug therapy / Q000209:etiology; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator