Right MCA territory infarct

Case contributed by Dr Subash Thapa


Left hemiparesis and sudden decrease level of consciousness.

Patient Data

Age: 75 years
Gender: Female

CT Brain

There is a large wedge-shaped hypoattenuating area involving the right cerebral hemisphere with loss of gray-white matter differentiation and effacement of the ipsilateral sylvian fissure, cortical sulci and the lateral ventricle. There is evidence of “hyperdense MCA” sign on the right side. There is decreased density of the right basal ganglia s/o “disappearing basal ganglia” sign.

Case Discussion

Features of right MCA territory infarct with hyperacute acute thrombus in the right MCA.

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Case information

rID: 40592
Case created: 27th Oct 2015
Last edited: 2nd Jul 2017
Inclusion in quiz mode: Included

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