Presentation
Dense acute hemiplegia
Patient Data
Age: 90 years
Gender: Female
From the case:
Ischemic stroke - hyperdense MCA sign
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Hyperdense right distal internal carotid artery and proximal middle cerebral artery in keeping with thrombus.
There is a subtle loss of grey-white matter differentiation involving the right insular cortex as well as the right frontoparietal MCA territory.
The left cerebral hemisphere is unremarkable
No intracranial hemorrhage. Periventricular chronic small vessel ischemia noted. The ventricles and sulci are age-appropriate.
Case Discussion
This case illustrates as obvious a hyperdense MCA sign as you are ever likely to see.
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