Ischemic stroke - hyperdense MCA sign

Case contributed by Assoc Prof Frank Gaillard

Presentation

Dense acute hemiplegia

Patient Data

Age: 90 years
Gender: Female

Hyperdense right distal internal carotid artery and proximal middle cerebral artery in keeping with thrombus.

There is a subtle loss of grey-white matter differentiation involving the right insular cortex as well as the right frontoparietal MCA territory.

The left cerebral hemisphere is unremarkable

No intracranial hemorrhage. Periventricular chronic small vessel ischemia noted. The ventricles and sulci are age-appropriate. 

Case Discussion

This case illustrates as obvious a hyperdense MCA sign as you are ever likely to see.

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Case information

rID: 17958
Published: 28th May 2012
Last edited: 21st Dec 2019
Inclusion in quiz mode: Included

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