MCA stroke - evolution

Case contributed by A.Prof Frank Gaillard

Presentation

Right sided weakness and aphasia 5 hours ago.

Patient Data

Age: 70 years
Gender: Female
CT

C- CTB

There is loss of grey-white matter differentiation in the left insular and temporal regions. 

CT

C+ CTB - same day

Contrast accentuates the loss of grey-white matter differentiation in the left middle cerebral artery territory, and there appears to be hypoenhancement of an M2 branch. 

MRI

MRI (DWI) - next day

DWI obtained the next day confirms the large infarct. 

CT

CT brain (8 weeks later)

.

Case Discussion

Typical evolution of a left MCA territory infarct. 

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Case information

rID: 21849
Case created: 22nd Feb 2013
Last edited: 30th Nov 2016
Inclusion in quiz mode: Included

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