Clinical Neurology and Neurosurgery
Volume 111, Issue 10 , Pages 862-863, December 2009

Spontaneous cerebral calcific embolus from the aortic arch

  • Olga Acha

      Affiliations

    • UARH (Short Stay Unit), University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain
  • ,
  • Francisco Novo

      Affiliations

    • UARH (Short Stay Unit), University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain
  • ,
  • Belen Espina

      Affiliations

    • UARH (Short Stay Unit), University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain
    • Corresponding Author InformationCorresponding author. Tel.: +34 942 202520x73080; fax: +34 942 201663.
  • ,
  • Enrique Marco

      Affiliations

    • Radiology Department, University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain
  • ,
  • Mariano Rebollo

      Affiliations

    • Neurology Department, University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain
  • ,
  • Rafael Tejido

      Affiliations

    • UARH (Short Stay Unit), University Hospital Marques de Valdecilla, Avda Marques de Valdecilla s/n, 39008-Santander, Cantabria, Spain

Received 16 November 2008; received in revised form 28 June 2009; accepted 4 July 2009.

Abstract 

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.

Keywords: Cerebrovascular diseases, Calcific embolus

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PII: S0303-8467(09)00174-7

doi:10.1016/j.clineuro.2009.07.006

Clinical Neurology and Neurosurgery
Volume 111, Issue 10 , Pages 862-863, December 2009