Acute right MCA territory infarct

Case contributed by Ian Bickle
Diagnosis certain


Right sided weakness commencing 2 days prior. Hemiplegic.

Patient Data

Age: 60 years
Gender: Male

Extensive low attenuation in the distribution of the right middle cerebral artery.

No hemorrhagic transformation.

No midline shift.

Annotated image

The CT and illustration (courtesy of Frank Gaillard) show the very clear vascular territory boundaries.

Case Discussion

Classic appearances of a recent complete MCA territory infarct.

The delay of more than 24 hours from symptoms to performing the CT makes the infarct very apparent.

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.