CT after two hours ( post thrombolysis)

Post thrombolysis...
Axial non-contrast
Post thrombolysis delayed two hour scans showed a more mature infarct in the left perisylvian cortex, clearly depicting the 'loss of insular ribbon sign'. Also notable is the straightening of the Sylvian sulcus, which may be seen occassionally.
Modality: CT (non-contrast)

- “ Loss of insular ribbon sign denotes loss of grey white matter distinction at the insular cortex secondary to edema due to an ischemic insult. This...”

Used in the following article:

  • Loss of the insular ribbon sign - “ The loss of the insular ribbon sign refers to a loss of definition of the gray-white interface in the lateral margin of the insular cortex ("insul...”

View full size version of Loss of insular ribbon - sign of early MCA infarction

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