Fatal course of a right MCA territory infarction

Case contributed by Dr Sajoscha Sorrentino

Presentation

Patient presented with left-sided hemiplegia.

Patient Data

Age: 75
Gender: Female

CT scan demonstrates a hyperdense MCA sign on the right, with patchy low density seen in the right MCA territory. 

12 hours later

Modality: CT

12 hours after the initial scan extensive MCA infarction is visible.

12 hours later still (24hours since admission)

Modality: CT

24 hours after the initial scan you can see swelling, midline shift and bleeding.

12 hours later still (36 hours after admission)

Modality: CT

36 hours after the initial scan and after craniectomy swelling, midline shift and herniation. The Patient died within hours after this scan.

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Case Information

rID: 15871
Case created: 19th Nov 2011
Last edited: 12th Dec 2015
Inclusion in quiz mode: Included

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