MCA infarct with CT perfusion

Case contributed by A.Prof Frank Gaillard

Presentation

Elderly patient with sudden onset of the left sided hemiparesis.

Modality: CT

Case Discussion

Initial non contrast CT demonstrates no definite abnormality, although in retrospect there is subtle blurring of the grey-white matter junction and slight swelling. 

A CTA and CT perfusion performed at the same time demonstrates a large region of avascularity involving the superior division of the right MCA territory with matching perfusion defect. 

Followup CT performed three days later confirms an established infarct in the same distribution. 

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Case Information

rID: 13581
Case created: 23rd Apr 2011
Last edited: 14th Nov 2015
Inclusion in quiz mode: Included

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