This case shows the acute and sub-acute signs of infarction.
The symptoms described (contralateral hemiparesis) are typical for MCA strokes but can be mimicked by other diagnoses, so a good and timely clinical history, examination and imaging are important. Other symptoms that can occur with MCA strokes include:
- contralateral hemisensory loss
- hemianopia
- aphasia: if dominant hemisphere
- expressive in anterior MCA territory infarction (Broca's area),
- receptive in posterior MCA stroke (Wernicke's area),
- or global with extensive infarction
- neglect: non-dominant hemisphere
Thanks to Dr Sajoscha Sorrentino for contibuting this case. The original is available here.