Presentation
Sudden loss of consciousness.
Patient Data
Age: 70 years
Gender: Female
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Axial non-contrast
The left temporal lobe and left insula show loss of the cortico-medullary differentiation (insular ribbon sign) with effaced overlying sulci and mild compression of the left lateral ventricle.
Hyperdense left MCA is as well seen in the sylvian fissure (dense MCA sign).
Case Discussion
Left MCA thrombosis with subsequent left temporal and left insular acute infarct.
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