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Showered Calcific Emboli to the Brain, the ‘Salted Pretzel’ Sign, Originating From the Ipsilateral Internal Carotid Artery Causing Acute Cerebral Infarction
Author(s) -
Brett A. Christian,
Daniel J. Kirzeder,
Jim Boyd,
Jeffery Laing,
Judson Gash
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.108.538009
Subject(s) - medicine , internal carotid artery , cerebral infarction , sign (mathematics) , cardiology , infarction , stroke (engine) , carotid arteries , brain infarction , cerebral arteries , radiology , ischemia , myocardial infarction , mechanical engineering , mathematical analysis , mathematics , engineering
Unenhanced head CT has become the first line imaging study in the evaluation of suspected acute cerebral ischemia. It is important to identify subtle findings of acute ischemia on this exam to direct appropriate patient management. Summary of Case- We report the first case of multiple pial surface distal internal carotid artery territory calcified emboli causing multifocal cerebral infarctions, likely from a carotid bifurcation source.

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