Hyperacute infarction

Case contributed by Dr Abdallah Khateeb

Presentation

Left side weakness.

Patient Data

Age: 70 years
Gender: Male
CT

Day 0

Loss of grey white matter differentiation at the right insular region. Note the dense middle cerebral artery sign on the right side. 

CT

Day 1

Subsequent development of a large area of hypodensity at the right MCA territory with mass effect, in keeping of evolution of the MCA territory infarction. 

Case Discussion

With a hyperacute middle cerebral artery occlusion, loss of the normal grey white matter differentiation at the insular region is termed loss of the insular ribbon.

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Case information

rID: 45517
Case created: 27th May 2016
Last edited: 27th Apr 2017
Inclusion in quiz mode: Included

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