Presentation
Left hemiplegia.
Patient Data
Age: Elderly
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Selected axial images from a CT of the brain demonstrate that the right middle cerebral artery is hyperdense and there is loss of normal grey-white matter differentiation in the MCA territory.
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CT one day later at same level shows the vessel being even more hyperdense, due to clot retraction and further low attenuation change in the surrounding brain.
Case Discussion
Typical appearances of a hyperdense MCA sign.
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