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MCA stroke - evolution

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Right-sided weakness and aphasia 5 hours ago

Patient Data

Age: 70 years
Gender: Female

C- CTB

ct

There is loss of grey-white matter differentiation in the left insular and temporal regions. 

C+ CTB - same day

ct

Contrast accentuates the loss of grey-white matter differentiation in the left middle cerebral artery territory, and there appears to be hypoenhancement of a left M2 branch. 

MRI (DWI) - next day

mri

DWI obtained the next day confirms the large infarct. 

CT brain (8 weeks later)

ct

.

Case Discussion

Typical evolution of a left MCA territory infarct. 

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