Presentation
Acute onset left sided weakness.
Patient Data
Age: 65 years
Gender: Female
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The right MCA is hyperdense and there is subtle blurring of the grey white matter junction of the inuslar cortex and lentiform nucleus.
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CTA confirms left M1 occlusion. Perfusion demonstrates a sizable mismatch between CBF and TMax, implying a sizable penumbra.
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Attempted clot retrieval was performed, however the M1 segment could not be adequately recanalized.
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The area show to be 'at risk' on perfusion has gone on to infarct.
Case Discussion
Typical appearances of an acute MCA infarct with evolution following unsuccessful reperfusion.