PMC3249600_01
Plain CT scan brain showing a massive right MCA territory infarct during admission.
CRIM2011-271560.001.jpg
PMC3249600_01_CRIM2011-271560.001.jpg
fig1
A plain computed tomography (CT) of brain on admission showed a massive infarct at the right middle cerebral artery (MCA) territory with a dense right MCA sign (Figure 1).
Digital subtraction angiography performed within 2 weeks of admission. The left-right common carotid artery lateral view was showing an absence of right internal carotid artery (ICA) branch (a). The middle-left vertebral artery lateral view was showing increased collaterals from posterior communicating artery (b). Finally the right-left ICA anterior view was showing a cross-supply of collaterals into the right ICA territory (c).
CRIM2011-271560.002.jpg
PMC3249600_01_CRIM2011-271560.002.jpg
fig2
Within 2 weeks after her admission, an occluded right internal carotid artery (ICA), a small and a stenotic right MCA with no opacification of the terminal branches were shown in the digital subtraction angiography (DSA) (Figure 2).