Annotated image
reveals dense MCA...
Axial NECT complete MCA infarction
reveals dense MCA sign (orange arrows segment M1-2, yellow arrow segment M2-3), loss of insular ribbon sign (blue arrows) compared to contralateral side (normal appearance, green arrow), obscuration of right lentiform nucleus (blue arrow) compared to contralateral side (normal appearance, green arrow) and frontoparietal sulcal effacement, territory of right MCA (white arrows). Note slight mass-effect on right lateral ventricle, cornu frontale et occipitale (dark red arrows).
Modality: Annotated image (Axial NECT complete MCA infarction)

- “ Case key points: the rare and potentially fatal complication of decompressive hemicraniectomy, paradoxical brain herniation, requires early recog...”

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