Ischaemic stroke: hyperdense middle cerebral artery

Case contributed by A.Prof Frank Gaillard


Dense acute hemiplegia.

Patient Data

Age: 90 years
Gender: Female

Hyperdense right distal internal carotid artery and proximal middle cerebral artery is in keeping with thrombus. There is 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 haemorrhage. Periventricular chronic small vessel ischaemia noted. The ventricles and sulci age appropriate. 

Case Discussion

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

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Case information

rID: 17958
Published: 28th May 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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