Massive middle cerebral artery territory infarction

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis certain


Acute right sided hemiplegia and disturbed conscious level (time between onset of symptoms and imaging is unknown).

Patient Data

Age: 65 years old
Gender: Male
  • extensive hypoattenuation of brain parenchyma in the whole left middle cerebral artery territory seen involving the left temporo-parieto-occipital regions
  • cortical and subcortical in distribution, exerting mass effect in the form of effacement of the cortical gyri sulci ,midline shift and compression of the ipsilateral lateral ventricle
  • the left middle cerebral artery is hyperdense
  • multiple small lacunar infarcts are seen involving the right basal ganglia
  • no evidence of intra-axial or extra-axial bleed or hematoma

Case Discussion

Left middle cerebral artery territory acute cerebral infarction.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.