Stroke secondary to multiple spontaneous cholesterol emboli
Details
Serval ID
serval:BIB_A601AAE61124
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Stroke secondary to multiple spontaneous cholesterol emboli
Journal
Vasa
ISSN
0301-1526
Publication state
Published
Issued date
1991
Peer-reviewed
Oui
Volume
20
Number
1
Pages
74-7
Notes
Case Reports
Journal Article
Journal Article
Abstract
We describe one male, 49-year-old diabetic patient in whom regressive stroke with aphasia and right-sided hemiparesia was related to multiple small emboli in the left paraventricular cortex. Simultaneous presence of several cholesterol emboli in the left eye ground and detection of an atheromatous plaque at the homolateral carotid bifurcation let assume that the cerebral emboli originated from that plaque and also consisted of cholesterol crystals. The patient was discharged on low-dose aspirin (100 mg/day) after neurologic improvement. Follow-up at one year revealed clinical stability, recurrence of the cholesterol emboli at the eye ground examination and no change of the carotid plaque. Cholesterol embolization with renal failure, hypertension and peripheral arterial occlusions causing skin ulcerations is classical in case of atheromatous aortic disease but stroke has rarely been reported in this syndrome. However, more frequent use of invasive procedures (arteriography, transluminal angioplasty, vascular surgery) or thrombolytic treatment might increase its incidence in the near future.
Keywords
Carotid Artery Thrombosis/blood/*etiology
Cholesterol/*blood
Humans
Hypercholesterolemia/blood/*complications
Intracranial Embolism and Thrombosis/blood/*etiology
Male
Middle Aged
Pubmed
Web of science
Create date
29/01/2008 14:53
Last modification date
20/08/2019 16:11