Acute infarction - MCA territory

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Left side weakness.

Patient Data

Age: 45 years
Gender: Male

Altered signal intensity of right frontoparietal lobes, cortical and subcortical, appears hyperintense on T2W images and FLAIR sequences with restricted diffusion on DW/ADC. It causes effacement of regional overlying sulci.

No flow on TOF sequences of distal branches of right middle cerebral artery.

Case Discussion

Cortical hyperintensity on T2W, slightly subcortical of right frontoparietal lobes with restricted diffusion, likely territory of right middle cerebral artery, and shows no flow in distal branches of right MCA (M4, M5 and M6), denoting acute infarction.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.