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Middle cerebral artery territory malignant infarction - left

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Right hemiplegia for two days

Patient Data

Age: 50 years
Gender: Male
  • Hyperdense left middle cerebral artery
  • Hypodensity involving left middle cerebral artery territory with altered cortico-subcortical differentiation, edema and midline shift towards the right side.
  • Gyriform cortical and petechial basal ganglia hyperdensitıes in the affected region suggesting hemorrhagic transformation

Case Discussion

The features are consistent with left middle cerebral artery thrombosis and established early subacute ischemic infarct.

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