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[Stroke due to spontaneous calcified cerebral embolus as presenting feature of calcified aortic stenosis]

J-M Bugnicourt1, B Bonnaire, L Lepage

  • 1Service de neurologie, CHU d'Amiens, 80054 Amiens cedex 1, France. bugnicourt.jean-marc@chu-amiens.fr

Journal Des Maladies Vasculaires
|May 6, 2008
PubMed

Insights

A rare calcified cerebral embolus from aortic valve disease caused an ischemic stroke in an 81-year-old man. This case highlights a potential, though uncommon, link between aortic valve calcification and stroke risk.

Area of Science:

  • Neurology
  • Cardiology
  • Vascular Medicine

Background:

  • Calcified emboli are rare causes of ischemic stroke.
  • Aortic valve calcification is typically not considered a primary stroke risk factor unless severe.

Observation:

  • An 81-year-old male with hypertension, hyperlipidemia, and renal impairment presented with hemiparesis and aphasia.
  • Head CT revealed a calcified embolus in the left anterior cerebral artery and a left paracentral lobule infarct.
  • Transesophageal echocardiography showed a sclerotic aortic valve.

Findings:

  • The patient experienced a stroke attributed to a calcified cerebral embolus originating from the aortic valve.
  • This represents a rare instance of calcified embolus in the anterior cerebral artery territory.
  • Renal failure was noted as a contributing factor to cardiovascular disease development.

Implications:

  • This case suggests a potential, albeit rare, association between aortic valve calcification and ischemic stroke.
  • Further investigation may be warranted for aortic valve calcification as a stroke risk marker, especially in patients with comorbidities.
  • Understanding rare embolic sources is crucial for comprehensive stroke prevention strategies.

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