Calcified cerebral emboli associated with calcified carotid plaque: a case report and morphological consideration for plaque calcification.

Autor: Kitamura K; Department of Neurosurgery, Ainomiyako Neurosurgery Hospital, 2-21-16 Hanatenhigashi, Tsurumi-ku, Osaka, 538-0044, Japan., Iwasaki K; Department of Neurosurgery, Ainomiyako Neurosurgery Hospital, 2-21-16 Hanatenhigashi, Tsurumi-ku, Osaka, 538-0044, Japan. todaiji2005@yahoo.co.jp., Yano T; Department of Neurosurgery, Ainomiyako Neurosurgery Hospital, 2-21-16 Hanatenhigashi, Tsurumi-ku, Osaka, 538-0044, Japan., Sasaki I; Department of Neurosurgery, Ainomiyako Neurosurgery Hospital, 2-21-16 Hanatenhigashi, Tsurumi-ku, Osaka, 538-0044, Japan., Hasegawa H; Department of Neurosurgery, Ainomiyako Neurosurgery Hospital, 2-21-16 Hanatenhigashi, Tsurumi-ku, Osaka, 538-0044, Japan., Yoshida K; Deparement of Neurosurgery, Shiga University of Medical Science, Setatsukinowa-Cho, Otsu, Shiga, 520-2192, Japan.
Jazyk: angličtina
Zdroj: Acta neurochirurgica [Acta Neurochir (Wien)] 2024 Nov 04; Vol. 166 (1), pp. 439. Date of Electronic Publication: 2024 Nov 04.
DOI: 10.1007/s00701-024-06339-w
Abstrakt: We described a rare case of acute ischemic stroke due to calcified cerebral emboli from calcified carotid plaque (CCP). Radiological examinations revealed that the CCP had an irregular configuration containing a calcified nodule and scattered spotty calcifications, and a large calcified plate. The patient underwent carotid endarterectomy to prevent embolic recurrence. Histopathological examination confirmed the presence of an erupted plaque with a disrupted fibrous cap. Calcified nodular protrusion and spotty calcifications in CCP are predictive of a high risk of embolic stroke with plaque rupture. Thus, careful treatment strategies are crucial to prevent the CCP-related embolic recurrence.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
Databáze: MEDLINE
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