MCA infarction - early hyperacute

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right hemiplegia of 2 hours duration.

Patient Data

Age: 80 years
Gender: Female

The MRI sequences demonstrate areas of restricted diffusion in the distribution of the left middle cerebral artery (MCA) territory, not visible on FLAIR sequences. No hemorrhagic transformation was seen on the GE sequence. The MRA 3D-TOF shows complete occlusion of the left middle cerebral artery.

Case Discussion

MRI features of an early hyperacute middle cerebral artery (MCA) territory infarct.

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