Acute MCA territory infarct

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Right hemiplegia (<12 hours)

Patient Data

Age: 65 years
Gender: Male
ct

There is extensive low attenuation in the distribution of the left middle cerebral artery (MCA) territory with a hyperdense MCA sign. No hemorrhagic transformation is seen.  No mass effect on the midline structures.

Case Discussion

Case of an acute MCA territory infarct with a hyperdense MCA sign.

The hyperdense MCA sign is seen on non-contrast CT as a focal hyperdensity of the middle cerebral artery (MCA) and corresponds to the direct visualization of thromboembolic material within the lumen. It considered the earliest visible sign of MCA infarction.

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