Presentation
Acute left sided hemiplegia, but beyond the 4.5 hour time interval for thrombolysis.
Patient Data
Age: 55 years
Gender: Male
From the case:
Middle cerebral artery territory infarct
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Hyperdense left MCA - from M2 segment in Sylvian fissure distally.
Diffuse low attenuation in the left MCA territory. No hemorrhage.
Multiple basal ganglia and thalamic lacunar infarcts.
From the case:
Middle cerebral artery territory infarct
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Large T2/Flair hyperintensity area with restricted diffusion in the left middle cerebral artery territory.
MRA reveals no signal in the left middle cerebral artery, from M2 segment onward.
Case Discussion
Good example on CT and MRI of an acute complete left MCA territory infarct with left MCA occlusion due to thrombus, evidenced by the MCA dot sign.
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