Presentation
NIHSS 18, headache, dysarthria, facial droop, left hemiparesis. Received iv tPA. Transferred for endovascular clot retrieval.
Patient Data
Age: 60 years
From the case:
MCA infarct and hemicraniectomy
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Early stroke Right MCA
From the case:
MCA infarct and hemicraniectomy
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ICA M1 occlusion. Note hyperdense artery and demarcated infarct.
From the case:
MCA infarct and hemicraniectomy
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Decompressive craniectomy.
From the case:
MCA infarct and hemicraniectomy
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ICA and M1 have recanalized, but large established MCA territory infarct with mass effect. Hemicraniectomy can be lifesaving, but mandates careful discussion with family and account of prior wishes of person regarding quality of life issues.
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