Presentation
Right-sided weakness. Expressive dysphasia. Query stroke.
Patient Data
Age: 65 years
Gender: Male
From the case:
Left MCA territory infarct - evolution
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- left M2 branch hyperdensity
- grey-white matter differentiation loss in the left MCA territory: posterior insular ribbon, frontal operculum and upwards at the frontoparietal convexity (pre- and post-central gyrus involvement), body of the left caudate nucleus
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- increased grey-white matter differentiation loss and hypodensities in the previously described left MCA territory, including the body of the left caudate nucleus
- increased mass effect with partial sulcal effacement
- left M2 branch hyperdensity is persisting
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- increased hypodensities involving a larger part of the left MCA territory
- increased mass effect with sulcal effacement and left lateral ventricle compression
- no evidence of hemorrhagic transformation
Case Discussion
This case well depicts the short-term evolution of a left MCA territory infarct.