Ischaemic stroke: hyperdense middle cerebral artery

Case contributed by A.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 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.

PlayAdd to Share

Case information

rID: 17958
Case created: 28th May 2012
Last edited: 10th Jan 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.