Article Text
PDF
Statistics from Altmetric.com
A 72-year-old man developed acute aphasia and right-sided hemiparesis. Initial non-contrast CT scan of the head showed multiple punctate calcifications along the brain surface in the territory of the left middle cerebral artery, and a calcific dot sign in the left Sylvian fissure (figure 1A,B). CT angiogram showed a high-grade left internal carotid artery stenosis due to calcified heterogenous carotid plaques (figure 1C) and a proximal M2 occlusion of the left middle cerebral artery. The patient received intravenous thrombolysis but was not suitable for endovascular treatment due to significant infarct extension after hospital transfer. Follow-up imaging showed an infarct exclusively …
Footnotes
Contributors All authors participated in this article equally.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned. Externally peer reviewed by Tom Hughes, Cardiff, UK.
Read the full text or download the PDF:
Other content recommended for you
- Effects of endovascular therapy for mild stroke due to proximal or M2 occlusions: meta-analysis
- Hyperacute stent placement in acute cervical internal carotid artery occlusions: the potential role of magnetic resonance imaging
- Calcified embolism: a rare cause of cerebral infarction
- Mechanical thrombectomy using a combined CT/C-arm X-ray system
- Use of a sheathless 8-French balloon guide catheter (Walrus) through the radial artery for mechanical thrombectomy: technique and case series
- Cost-effectiveness of thrombectomy in patients with minor stroke and large vessel occlusion: effect of thrombus location on cost-effectiveness and outcomes
- Variant ascending pharyngeal artery maintaining flow in a subocclusive internal carotid artery
- Migrated coronary stent into the left internal carotid artery: a rescue technique
- Successful endovascular treatment of three fusiform cerebral aneurysms with the Pipeline Embolization Device in a patient with dilating HIV vasculopathy
- Successful endovascular treatment of three fusiform cerebral aneurysms with the Pipeline Embolization Device in a patient with dilating HIV vasculopathy