Intraventricular extension of hemorrhagic transformation of MCA infarct
Diagnosis certain
Presentation
24hrs onset right sided weakness
Patient Data
Age: 80
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/31166/annotated_viewer_json?lang=us"}
Non-contrast CT: extensive acute left MCA territory infarction with left basal ganglia hemorrhagic transformation, with intraventricular extension of hemorrhage. Hyperdense left MCA sign.
CTA cerebral: thrombus left distal M1 MCA.
3D reconstructions of carotid - focal proximal left ICA 80-99% stenosis.
Case Discussion
Acute left MCA territory infarction with left basal ganglia hemorrhagic transformation, with intraventricular extension of hemorrhage.
Hyperdense left MCA sign on non-contrast CT, with thrombus confirmed on CTA.
Focal proximal left ICA 80-99% stenosis.