Acute right MCA infarct on CT perfusion
65y old female presented with acute onset left sided weakness and neglect.
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R MCA Infarct
Plain CT demonstrates no hemorrhage and hence CT perfusion was done.
CTP shows evolving large R MCA distribution ischemia with almost all core and very minimal penumbra.CBF and CBV of 2.6 and 0.2 respectively to suggest infarct core.
CT Angiography confirms a proximal M1and AI segment of MCA and ACA thrombus in R MCA.There was no dense MCA sign on plain CT.