Hyperdense MCA sign

Case contributed by Marcin Czarniecki
Diagnosis certain

Presentation

Sudden onset of right sided hemiplegia and confusion.

Patient Data

Age: 90
ct

Hyperdense MCA with loss of cortical differentiation and edema of the left hemisphere.

(Some images degraded by movement artifact)

Case Discussion

This patient has a left MCA territory infarct with typical CT signs.

The hyperdense MCA represents thrombus.

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