Presentation
left sided weakness
Patient Data
Age: 65 years
Gender: Male
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Hyperdense MCA seen in right Sylvian fissure representing MCA dot sign.
No parenchymal abnormality detected.
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10 days later patient deteriorated and second study was done.
Now the ischemic infarction was obvious and confined to right MCA territory.
From the case:
MCA dot sign
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Hyperdense dot in M2 segment of MCA.
Case Discussion
MCA dot sign is one of earliest signs of thromboembolic occlusion of M2 segment of MCA, unfortunately it is an indicator of poor outcome.