Acute middle cerebral arterial embolus

Case contributed by Frank Parrish
Diagnosis certain

Presentation

Right sided weakness

Patient Data

Gender: Male

Acute left middle cerebral arterial embolus seen as a filling defect on arterial phase. No established infarct on non-contrast CT. Perfusion shows increased TTP without decreased CBV indicating this is ischemic brain that is not yet infarcted.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

CT perfusion in ischemic stroke has become established in most centers with stroke services as an important adjunct, along with CT angiography, to conventional imaging of the brain with a non-contrast CT scan. 

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