Massive middle cerebral artery territory infarction


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.

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Case information

rID: 50009
Published: 24th Dec 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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