Presentation
GCS 5/15. Intracranial hemorrhage?
Patient Data
Age: 75 years
Gender: Male
From the case:
Bilateral acute middle cerebral artery territory infarcts
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Hyperdense middle cerebral arteries in the M2 segments, consistent with clot. This is more evident on the left.
No parenchymal changes of infarction. No hemorrhage.
From the case:
Bilateral acute middle cerebral artery territory infarcts
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Extensive bilateral avid diffusion restriction in both cerebral hemispheres, in the territory of the middle cerebral arteries, with sparing of the basal ganglia. No hemosiderin deposition.
Normal appearances of the posterior fossa.
Case Discussion
Appearances in keeping with bilateral acute MCA territory infarcts.
The territories of the lateral lenticulostriate arteries are spared.
The appearances are striking and the synchronous duality is uncommon.
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