Hyperdense middle cerebral artery - MRI equivalent

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Acute onset of left hemiparesis. CT scan as initial investigation.

Patient Data

Age: 55 years
Gender: Male

No definite abnormality except possible right short-segment hyperdense MCA.

MRI shows typical recent infarct in the distribution of the right MCA (anterior branch) with a "filling defect" in this branch on the angiogram consistent with an embolus - this is at the site of the hyperdense MCA sign on the CT scan

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