title: Detection of a right carotid focus of 18F-FDG predicted an ischemic stroke.
abstract: A 60-year-old woman was referred into our department for staging of an endometrial carcinoma. In addition to peritoneal and nodes metastases, F-FDG PET/CT showed a calcified plaque of the right carotid with focal uptake. One month later, the patient presented left hemiparesis, suggesting a right hemisphere stroke. MRI confirmed frontal infarction in the anterior cerebral artery territory. F-FDG is suggested to be a valuable tool to detect vessel wall inflammation; detection of focal arterial uptake on PET/CT suggests unstable plaque and requires urgent patient's management to prevent vascular events in a population already weakened by both disease and therapy.
authors.affiliation: From the Centre René Huguenin, Saint-Cloud, France.
authors.forename: Ophélie
authors.initials: O
authors.lastname: Bélissant
authors.forename: Laurence
authors.initials: L
authors.lastname: Champion
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Alberini
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002339:Carotid Arteries / Q000000981:diagnostic imaging*; D002536:Cerebral Arteries / Q000000981:diagnostic imaging; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D064847:Multimodal Imaging; D058226:Plaque, Atherosclerotic / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D020521:Stroke / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18