Presentation
Left hemiparesis
Patient Data
Age: 85
Gender: Female
From the case:
MCA infarct (M1 occlusion)
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No hemorrhage.
Hyperdense right MCA sign.
From the case:
MCA infarct (M1 occlusion)
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Occlusion right M1 MCA.
From the case:
MCA infarct (M1 occlusion)
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Incidental left frontal convexity meningioma.
From the case:
MCA infarct (M1 occlusion)
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CT perfusion.
Right basal ganglia / external capsule critical hypoperfusion (core) [increased MTT, decreased CBF, decreased CBV].
Larger region of right MCA territory hypoperfusion (penumbra) [increased MTT, decreased CBF, normal CBV].
Case Discussion
Right MCA infarct with M1 MCA occlusion on CTA, hyperdense MCA sign on non-contrast CT, and features of infarction on CT perfusion imaging.
Critical hypoperfusion (core) = increased MTT, decreased CBF, decreased CBV].
Hypoperfusion (penumbra) = increased MTT, decreased CBF, normal CBV.
Incidental left frontal meningioma (presumed - not histologically proven).