Left middle cerebral artery territory infarct: calcified embolus

Case contributed by Dr Henry Knipe

Presentation

Acute right hemiplegia.

Patient Data

Age: 82

Calcified thrombus at the left MCA bifurcation. No other evidence of acute stroke. Old left superior frontal gyrus encephalomalacia. 

Multifocal regions of diffusion restriction in the left MCA territory reflecting acute stroke. 

Case Discussion

Calcified cerebral thrombus is an uncommon cause of ischaemic stroke, occuring in ~2.5% of patients. They are often small (2-3 mm) and can be overlooked as old infection, vessel wall calcification or haemorrhage. 

PlayAdd to Share

Case information

rID: 46247
Case created: 28th Jun 2016
Last edited: 28th Jun 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.