Resolution of "hyperdense" middle cerebral artery post tPA thrombolysis
Acute right hemiplegia, presented within 1 hour ro ED. Treated with tPA thrombolysis leading to complete resolution of symptoms.
CT at time of initial presentaion and at 24 hours as per protocol
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Dense left MCA (distal M1) on the inital scan that resolves on the subsequent ie post tPA (60 HU to 36 HU) consistent with lysed blood clot. No signs of infarction including no loss of the "insular ribbon". No features of infarction on the subsequent scan nor hemorrhage.