Extensive cerebral infarction of MCA and PCA territory

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Third day after stroke.

Patient Data

Age: 85 years
Gender: Female

Hypoattenuation of brain parenchyma in the whole right middle cerebral artery and posterior cerebral artery territory (indicating a fetal PCA origin) with effacement of cerebral sulci and gyri, as well as compression of the right lateral ventricle and shift of the midline structures to the left.

Case Discussion

Third day right MCA/PCA stroke with swelling and mass effect. 

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