Hyperdense MCA sign

Case contributed by Fateme Hosseinabadi
Diagnosis certain

Presentation

Sudden onset of left hemiplegia

Patient Data

Age: 60 years
Gender: Female
ct

Non-contrast CT demonstrates a hyperdense right MCA. There is a right MCA teritory stroke with effacement of right lateral ventricle and midline shift.

Case Discussion

Hyperdense MCA sign is one of the early signs of an acute MCA teritory infarct, although in this case the territory infarct is also readily evident.

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