Presentation
2 days post-op for knee replacement. Now acute right hemiplegia
Patient Data
Age: 80
Gender: Female
From the case:
Hyperdense middle cerebral artery sign
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Hyperdense left MCA (arrow) = acute thrombo-embolism with changes of hyperacute infarct in MCA territory including loss of the insular cortical strip or ribbon (a very important early sign of cortical infarction)