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MCA Infarction with Secondary Hemorrhagic Transformation - Case 2

A 75-year old man developed the acute onset a right hemiplegia and aphasia.

Show the Infarction                                                   Show the Hemorrhagic Transformation

CT Scan of the brain (day 3). Note the large hypodensity involving the left middle cerebral artery territory as well as the deeper basal ganglia. The fact that the basal ganglia are involved denotes that the infarction involved the proximal middle cerebral artery stem, before the take off of the small perforating vessels which supply the basal ganglia. Also note the increased density in the basal ganglia, denoting hemorrhagic transformation of part of the infarct .

Revised 04/22/06.
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