Dense middle cerebral artery sign There are a number of radiological features that can be seen in the non-contrast CT scan which support the clinical suspicion of an ischaemic stroke. One of the early ischaemic changes that could be recognized on a non-contrast CT film ...
Read More »Vascular Disease
Ischaemic Changes of Different Anatomical Regions or Vascular Territories
Bilateral watershed infarct The non-contrast CT brain shown is from a patient with bilateral watershed infarct. Here, chronic ischaemic changes can be seen along the external or cortical watershed zones (Figures 1 and 2). These “borderzones” is where the terminal vasculature of the anterior cerebral artery and ...
Read More »Ischaemic Strokes of Different Etiologies
There are a number of ways of classifying ischaemic stroke. One of them is by anatomical classification e.g. anterior versus posterior circulation, the precise artery involved (e.g. left middle cerebral artery infarction) or the structure affected (e.g. right pontine infarct). It can also be classified according ...
Read More »Ischaemic Stroke with Haemorrhagic Transformation
Ischaemic stroke with haemorrhagic transformation, also known as haemorrhagic infarct, occurs in approximately one-third of cases of ischaemic stroke. Haemorrhagic infarct occurs more commonly in the elderly, those with larger infarcts as well as those having received thrombolytic therapy. The mechanism of haemorrhagic infarct has been ...
Read More »Epidural Haematomas
This is the non-contrast CT (Figure 1) of a patient with an acute right-sided epidural haematoma . The skull vault is a tight space and the haematoma is causing significant mass effect, resulting in mid-line shift (the right cerebral hemisphere is shifted to the left as it can be ...
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