CASE HISTORY / CLINIC:
67 years old patient with total aphasia and hemiplegia on the right side.


FINDINGS:
Unenhanced CCT (i.e. without contrast administration).
Hypodense appearance of the supply area of the left middle cerebral artery with exception of the basal ganglia.
Blurred outline of the interface between gray and white matter on the left.


DIAGNOSE:
Subacute infarction of the left middle cerebral artery (48-96h). Because the basal ganglia are intact, the occlusion of the middle cerebral artery lies distal after the branching of the lenticulostriate arteries.



Information on the internet:

1) Uni Harvard
2) Neuropat
3) Klinik Westend