PMC5846908_01
Initial CT scan showing the hyperdense media sign (a), proximal occlusion of LMCA (b), MT before aspiration of the thrombus (c) and after aspiration (d). Follow-up CT scans showed a hypodensity in the left area of the basal ganglia with a mild edema (e and f).
10.1177_1756286418759188-fig1.jpg
PMC5846908_01_10.1177_1756286418759188-fig1.jpg
fig1-1756286418759188
CoaguChek  (Roche Diagnostics) in the emergency room. Cerebral CT scan revealed only slight early ischemic changes in the LMCA territory (ASPECT-Score = 8 points) but with hyperdense media sign on the left (Figure 1(a)). Subsequent CT angiography confirmed a proximal occlusion of the LMCA (Figure 1(b)). Shortly after successful recanalization (Figure 1(c-d)) and directly after recovering from anesthesia, the half-sided motoric worsening of the preexisting hypotonic tetraparesis improved, but the aphasia persisted to a reduced extent (NIHSS score of 14 points). Follow-up CT scans revealed a demarcation of the ischemia in the left area of the basal ganglia with a mild edema (Figure 1(e-f)).