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A 75-year old man developed the acute onset a right hemiplegia and aphasia.
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.
The Electronic Curriculum is copyrighted 1998, Case Western Reserve University
School of Medicine.