Computed tomographic study of cervical carotid calcification.

Abstract:

:Contrast-enhanced computed tomography of the neck permits low-risk evaluation of morphologic complications of carotid plaque, including (and foremost) calcification. To investigate the patterns and clinical significance of calcified deposits in the cervical carotid arteries using computed tomography we studied 40 patients with unilateral symptoms of hemispheric ischemia. Calcium deposits observed in the external, internal, and common carotid arteries were oriented in space and individually scored. We found calcified deposits in 39 patients. Stepwise multiple regression of the data provided evidence strongly suggesting a correlation between advancing age and calcium scores. Calcium was more heavily concentrated in the posterior half of arteries (p less than 0.01), in particular of the internal and common carotid arteries, and always in relation to an atheromatous plaque, suggesting a causative link to hemodynamic forces within the arteries. There was no difference in calcification scores between symptomatic and asymptomatic sides, indicating that calcium deposits do not contribute to the development of symptoms.

journal_name

Stroke

journal_title

Stroke

authors

Culebras A,Otero C,Toledo JR,Rubin BS

doi

10.1161/01.str.20.11.1472

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

1472-6

issue

11

eissn

0039-2499

issn

1524-4628

journal_volume

20

pub_type

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