Presentation
Acute onset left sided weakness.
Patient Data
Age: 50 years
Gender: Male
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Long segment of hyperdense right MCA artery in keeping with thromboembolism. The grey white matter differentiation of the insular cortex is lost. No convincing other features of infarction.
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Large patchy MCA and ACA territory infarct with marked midline shift.
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Decompressive craniectomy has been performed.
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Swelling starting to subside.
Case Discussion
Decompressive craniectomy can be effective in preventing swelling induced morbidity and mortality if done early enough.