Hyperdense MCA and loss of the insular ribbon signs

Case contributed by Stefan Tigges

Presentation

Acute onset right sided weakness.

Patient Data

Age: 70 years
Gender: Female

Dense left MCA sign and loss of the left insular gray-white interface. Otherwise normal, no intracranial hemorrhage.

MIP image from a CT angiogram confirms occlusion of the left middle cerebral artery.

Case Discussion

Good example of the hyperdense MCA sign and the loss of the insular ribbon sign.

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