MCA infarct and decompressive craniectomy

Case contributed by A.Prof Frank Gaillard

Presentation

Acute onset left sided weakness.

Patient Data

Age: 50 years
Gender: Male

CTB - Day 0

Modality: CT

Long segment of hyperdense right MCA artery in keeping with thromboembolism. The grey white matter differentiation of the insular cortex is lost. No convincing other features of infarction. 

CTB - Day 3

Modality: CT

Large patchy MCA and ACA territory infarct with marked midline shift. 

CTB - Day 5

Modality: CT

Decompressive craniectomy has been performed.  

CTB - Day 11

Modality: CT

Swelling starting to subside. 

Case Discussion

Decompressive craniectomy can be effective in preventing swelling induced morbidity and mortality if done early enough. 

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Case Information

rID: 21907
Case created: 25th Feb 2013
Last edited: 29th May 2015
Inclusion in quiz mode: Included

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