Intraventricular extension of haemorrhagic transformation of MCA infarct

Case contributed by Dr Brendon Friesen

Presentation

24hrs onset right sided weakness

Patient Data

Age: 80
Gender: Male

Non-contrast CT: extensive acute left MCA territory infarction with left basal ganglia hemorrhagic transformation, with intraventricular extension of hemorrhage. Hyperdense left MCA sign.

CTA cerebral: thrombus left distal M1 MCA.

3D reconstructions of carotid - focal proximal left ICA 80-99% stenosis.

Case Discussion

Acute left MCA territory infarction with left basal ganglia haemorrhagic transformation, with intraventricular extension of hemorrhage.

Hyperdense left MCA sign on non-contrast CT, with thrombus confirmed on CTA.

Focal proximal left ICA 80-99% stenosis.

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Case Information

rID: 30494
Case created: 14th Aug 2014
Last edited: 16th Aug 2016
Inclusion in quiz mode: Included

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