Right middle cerebral artery territory infarction

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Sudden onset of weakness of the left side of the body

Patient Data

Gender: Male

Acute infarction following the territory of the right MCA with mass effect and midline shift to the left by a few millimeters. The abnormal high signal on T1WI images may be attributed to hemorrhagic transformation.

The abnormal periventricular sheet of high signal intensity is a sequela of small vessel ischemia.

Case Discussion

Acute infarction of the right middle cerebral artery territory with restricted diffusion in the form of the high signal on DWI and low signal on ADC map. The abnormal high signal on T1WI images may be attributed to hemorrhage.

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