Presentation
Left side weakness.
Patient Data
Age: 70 years
Gender: Male
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Loss of grey white matter differentiation at the right insular region. Note the dense middle cerebral artery sign on the right side.
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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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