Presentation
Unconscious state for last two days.
Patient Data
Age: 75 years
Gender: Female
From the case:
Anterior circulation infarct - malignant
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Motion artifact noted.
Diffuse swelling of left cerebral hemisphere demonstrating T2/FLAIR high signal, T1 low signal, and diffusion restriction.
Effacement of left lateral ventricle, midline shift of approximately 15 mm towards the contralateral side and evidence of acute dilatation of right lateral ventricle.
Time-of-flight images show absence of flow in left internal carotid artery, as well as left anterior, middle and posterior cerebral arteries.
Case Discussion
Features are representative of left anterior circulation acute infarct involving the entire left cerebral hemisphere.
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