Downstream Migration and Fragmentation of a Spontaneous Calcific Embolus after Thrombolysis in a Patient with Ischemic Stroke

J Stroke Cerebrovasc Dis. 2016 Oct;25(10):e165-6. doi: 10.1016/j.jstrokecerebrovasdis.2016.06.010. Epub 2016 Aug 4.

Abstract

We report a successful treatment experience with systemic thrombolysis in a patient with acute ischemic stroked caused by spontaneous calcific embolus, which resulted in clinical improvement and embolus fragmentation.

Keywords: Stroke; aortic arch atheromatosis; calcific embolus; thrombolysis.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Aged, 80 and over
  • Aortic Diseases / complications*
  • Aortic Diseases / diagnosis
  • Aortography / methods
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / drug therapy*
  • Brain Ischemia / etiology
  • Carotid Artery Diseases / complications*
  • Carotid Artery Diseases / diagnostic imaging
  • Cerebral Angiography / methods
  • Computed Tomography Angiography
  • Diffusion Magnetic Resonance Imaging
  • Female
  • Fibrinolytic Agents / administration & dosage*
  • Humans
  • Intracranial Embolism / complications
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / drug therapy*
  • Stroke / diagnostic imaging
  • Stroke / drug therapy*
  • Stroke / etiology
  • Thrombolytic Therapy*
  • Tissue Plasminogen Activator / administration & dosage*
  • Treatment Outcome
  • Vascular Calcification / complications*
  • Vascular Calcification / diagnostic imaging

Substances

  • Fibrinolytic Agents
  • Tissue Plasminogen Activator