MCA infarct and decompressive craniectomy

Case contributed by A.Prof Frank Gaillard


Acute onset left sided weakness.

Patient Data

Age: 50 years
Gender: Male

CTB - Day 0

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

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


CTB - Day 5

Decompressive craniectomy has been performed.  


CTB - Day 11

Swelling starting to subside. 

Case Discussion

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

PlayAdd to Share

Case information

rID: 21907
Published: 25th Feb 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.