Insular ribbion sign

Case contributed by Dr Ahmed Elowaidy

Presentation

Acute left side weakness

Patient Data

Gender: Male
CT

Head

There is loss of gray white matter differentiation centered on the right frontal and right insular cortex consistent with acute right MCA territory infarction, the so called insular ribbon sign.

Case Discussion

Acute MCA territory infraction has many signs such as insular ribbon sign, MCA dot sign, dense MCA sign (both representing thrombosis of the MCA), and the loss of GWM differentiation.

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Case information

rID: 24917
Case created: 19th Sep 2013
Last edited: 16th Mar 2016
Inclusion in quiz mode: Included

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