Bilateral hyperdense middle cerebral arteries: Stroke sign or not?

Hyperdense middle cerebral artery (MCA) is a classic sign of acute thromboembolic disease. Simultaneous bilateral occurrence is uncommon and traditionally attributed to physiological hemoconcentration or attributable to imaging artifact. We present the case of a 71-year-old man whose admission nonco...

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Main Authors: James Vogler, IV, MD, Veer Gariwala, Anthony Trace, MD, PhD, Victor Fong, MD, John Plemmons, MD
Format: Article
Language:English
Published: Elsevier 2018-10-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043317306301
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author James Vogler, IV, MD
Veer Gariwala
Anthony Trace, MD, PhD
Victor Fong, MD
John Plemmons, MD
author_facet James Vogler, IV, MD
Veer Gariwala
Anthony Trace, MD, PhD
Victor Fong, MD
John Plemmons, MD
author_sort James Vogler, IV, MD
collection DOAJ
description Hyperdense middle cerebral artery (MCA) is a classic sign of acute thromboembolic disease. Simultaneous bilateral occurrence is uncommon and traditionally attributed to physiological hemoconcentration or attributable to imaging artifact. We present the case of a 71-year-old man whose admission noncontrast computed tomography (CT) demonstrated bilateral hyperdense middle cerebral arteries without other radiographic evidence of acute stroke. CT angiography confirmed bilateral MCA, M1 segment vascular occlusion and follow-up noncontrast CT demonstrated MCA territory infarctions. Keyword: Bilateral hyperdense middle cerebral arteries
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spelling doaj.art-f332cc1bc9a54e51827b7cd0dc91aa2e2022-12-22T00:39:24ZengElsevierRadiology Case Reports1930-04332018-10-01135933935Bilateral hyperdense middle cerebral arteries: Stroke sign or not?James Vogler, IV, MD0Veer Gariwala1Anthony Trace, MD, PhD2Victor Fong, MD3John Plemmons, MD4Department of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USA; Corresponding author.Eastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USADepartment of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USADepartment of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USADepartment of Radiology, Eastern Virginia Medical School, PO Box 1980, Norfolk, VA 23501, USAHyperdense middle cerebral artery (MCA) is a classic sign of acute thromboembolic disease. Simultaneous bilateral occurrence is uncommon and traditionally attributed to physiological hemoconcentration or attributable to imaging artifact. We present the case of a 71-year-old man whose admission noncontrast computed tomography (CT) demonstrated bilateral hyperdense middle cerebral arteries without other radiographic evidence of acute stroke. CT angiography confirmed bilateral MCA, M1 segment vascular occlusion and follow-up noncontrast CT demonstrated MCA territory infarctions. Keyword: Bilateral hyperdense middle cerebral arterieshttp://www.sciencedirect.com/science/article/pii/S1930043317306301
spellingShingle James Vogler, IV, MD
Veer Gariwala
Anthony Trace, MD, PhD
Victor Fong, MD
John Plemmons, MD
Bilateral hyperdense middle cerebral arteries: Stroke sign or not?
Radiology Case Reports
title Bilateral hyperdense middle cerebral arteries: Stroke sign or not?
title_full Bilateral hyperdense middle cerebral arteries: Stroke sign or not?
title_fullStr Bilateral hyperdense middle cerebral arteries: Stroke sign or not?
title_full_unstemmed Bilateral hyperdense middle cerebral arteries: Stroke sign or not?
title_short Bilateral hyperdense middle cerebral arteries: Stroke sign or not?
title_sort bilateral hyperdense middle cerebral arteries stroke sign or not
url http://www.sciencedirect.com/science/article/pii/S1930043317306301
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