Presentation
Right hemiplegia (<12 hours)
Patient Data
Age: 65 years
Gender: Male
From the case:
Acute MCA territory infarct
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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.