Middle cerebral artery infarction

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Apoplectic insult 8 months earlier.

Patient Data

Age: 55
Gender: Male

T2 hyperintense gliosis of the right temporal and parietal lobe with volume loss and malacic areas (low FLAIR and T1 signal). MRA shows occlusion at the origin of opercular MCA branches. No perfusion sIgnal on TOF images distal to this point.

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