Presentation
Acute right hemiparesis.
Patient Data
Age: Elderly
Axial non-contrast
A markedly hyperdense focus is seen in the sylvian fissure (calcified on ROI density measurement).
Axial non-contrast
MCA territory infarct with hemorrhagic transformation has developed with further patchy change in the anterior cerebral artery territories, bilaterally.
Case Discussion
This case illustrates the appearance of a hyperdense, calcified embolism. It is important to recognize this as it is a marker of poor response to IV thrombolytic therapy and a contraindication of clot retrieval / angioplasty due to the risk of vessel rupture.
Unable to process the form. Check for errors and try again.