An illustrative case of hyperdense middle cerebral artery sign

Amit Agrawal; Lekha Pandit; Lathika Shetty; Bobby Varkey; Murali Manju

An illustrative case of hyperdense middle cerebral artery sign

Year 2006, Volume: 3 Issue: 1, - , 01.03.2006

Amit Agrawal Lekha Pandit Lathika Shetty Bobby Varkey Murali Manju

Abstract

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Keywords

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References

1. von Kummer R, Allen KL, Holle R et al. Acute stroke: usefulness of early CT findings before thrombolytic therapy. Radiology 1997;205:327–33
2. Barber PA, Demchuk AM, Zhang J, Buchan AM, The ASPECTS Study Group. The validity and reliability of a novel quantitative CT score in predicting outcome in hyperacute stroke prior to thrombolytic therapy. Lancet 2000;355: 1670–4
3. Manelfe C, Larrue V, von Kummer R et al. Association of hyperdense middle cerebral artery sign with clinical outcome in patients with tissue plasminogen activator. Stroke 1999;30:769–72
4. Yang SS, Ryu SJ, Wu CL. Early CT diagnosis of cerebral ischemia. Stroke 1990;21(suppl I):I-121
5. Leys D, Pruvo JP, Godefroy O, Randepierre, Leclerc X. Prevalence and significance of hyperdense middle cerebral artery in acute stroke. Stroke 1992;23:317–24
6. von Kummer R, Meyding-Lamade U, Forsting M et al. Sensitivity and prognostic value of early CT in occlusion of the middle cerebral artery trunk. Am J Neuroradiol 1994;15:9–15
7. Thomas T, Thomas B, William B et al. Prognostic Value of the Hyperdense Middle Cerebral Artery Sign and Stroke Scale Score before Ultraearly Thrombolytic Therapy. Am J Neuroradiol 1996;17:79–85
8. Hacke W, Schwab S, Horn M et al. Malignant’ middle cerebral artery territory infarction: Clinical course and prognostic signs. Arch Neurol 1996;53: 309-15
9. Adams HPJ, Adams RJ, Brott T et al. Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke Association. Stroke 2003;34:1056-83
10. Hack W, Kaste M, Bogousslavsky J et al. European Stroke Initiative Recommendations for Stroke Management-update. Cerebrovasc Dis 2003;16:311-37
11. Yao Y, Liu W, Yang X, Hu W, Li G. Is decompressive craniectomy for malignant middle cerebral artery territory infarction of any benefit for elderly patients? Surg Neurol 2005;64(2):165-9
12. Berrouschot J, Sterker M, Bettin S, Koser J, Schneider D. Mortality of spaceoccupying (malignant) middle cerebral artery infarction under conservative intensive care. Intensive Care Med 1998 ;24:620-3
13. Mitchell P, Tseng M, Mendelow AD. Decompressive craniectomy with lattice duraplasty. Acta Neurochir (Wien) 2004; 146:159-60

An illustrative case of hyperdense middle cerebral artery sign

Year 2006, Volume: 3 Issue: 1, - , 01.03.2006

Amit Agrawal Lekha Pandit Lathika Shetty Bobby Varkey Murali Manju

Abstract

Hyperdense middle cerebral artery sign on non-contrast CT scan has been recognized as a marker of thrombus in the middle cerebral artery. It is associated with a subsequent large cerebral infarction and poor outcome despite treatment. This case illustrates the sign and also its grave consequences. Key words: Infarction, middle cerebral artery, malignant middle artery syndrome, stroke

Keywords

Infarction , middle cerebral artery , malignant middle artery syndrome , stroke

References

1. von Kummer R, Allen KL, Holle R et al. Acute stroke: usefulness of early CT findings before thrombolytic therapy. Radiology 1997;205:327–33
2. Barber PA, Demchuk AM, Zhang J, Buchan AM, The ASPECTS Study Group. The validity and reliability of a novel quantitative CT score in predicting outcome in hyperacute stroke prior to thrombolytic therapy. Lancet 2000;355: 1670–4
3. Manelfe C, Larrue V, von Kummer R et al. Association of hyperdense middle cerebral artery sign with clinical outcome in patients with tissue plasminogen activator. Stroke 1999;30:769–72
4. Yang SS, Ryu SJ, Wu CL. Early CT diagnosis of cerebral ischemia. Stroke 1990;21(suppl I):I-121
5. Leys D, Pruvo JP, Godefroy O, Randepierre, Leclerc X. Prevalence and significance of hyperdense middle cerebral artery in acute stroke. Stroke 1992;23:317–24
6. von Kummer R, Meyding-Lamade U, Forsting M et al. Sensitivity and prognostic value of early CT in occlusion of the middle cerebral artery trunk. Am J Neuroradiol 1994;15:9–15
7. Thomas T, Thomas B, William B et al. Prognostic Value of the Hyperdense Middle Cerebral Artery Sign and Stroke Scale Score before Ultraearly Thrombolytic Therapy. Am J Neuroradiol 1996;17:79–85
8. Hacke W, Schwab S, Horn M et al. Malignant’ middle cerebral artery territory infarction: Clinical course and prognostic signs. Arch Neurol 1996;53: 309-15
9. Adams HPJ, Adams RJ, Brott T et al. Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke Association. Stroke 2003;34:1056-83
10. Hack W, Kaste M, Bogousslavsky J et al. European Stroke Initiative Recommendations for Stroke Management-update. Cerebrovasc Dis 2003;16:311-37
11. Yao Y, Liu W, Yang X, Hu W, Li G. Is decompressive craniectomy for malignant middle cerebral artery territory infarction of any benefit for elderly patients? Surg Neurol 2005;64(2):165-9
12. Berrouschot J, Sterker M, Bettin S, Koser J, Schneider D. Mortality of spaceoccupying (malignant) middle cerebral artery infarction under conservative intensive care. Intensive Care Med 1998 ;24:620-3
13. Mitchell P, Tseng M, Mendelow AD. Decompressive craniectomy with lattice duraplasty. Acta Neurochir (Wien) 2004; 146:159-60

There are 13 citations in total.

Details

Primary Language	English
Authors	Amit Agrawal This is me Lekha Pandit This is me Lathika Shetty This is me Bobby Varkey This is me Murali Manju This is me
Publication Date	March 1, 2006
Published in Issue	Year 2006 Volume: 3 Issue: 1

Cite

APA	Agrawal, A., Pandit, L., Shetty, L., … Varkey, B. (2006). An illustrative case of hyperdense middle cerebral artery sign. European Journal of General Medicine, 3(1).
AMA	Agrawal A, Pandit L, Shetty L, Varkey B, Manju M. An illustrative case of hyperdense middle cerebral artery sign. European Journal of General Medicine. March 2006;3(1).
Chicago	Agrawal, Amit, Lekha Pandit, Lathika Shetty, Bobby Varkey, and Murali Manju. “An Illustrative Case of Hyperdense Middle Cerebral Artery Sign”. European Journal of General Medicine 3, no. 1 (March 2006).
EndNote	Agrawal A, Pandit L, Shetty L, Varkey B, Manju M (March 1, 2006) An illustrative case of hyperdense middle cerebral artery sign. European Journal of General Medicine 3 1
IEEE	A. Agrawal, L. Pandit, L. Shetty, B. Varkey, and M. Manju, “An illustrative case of hyperdense middle cerebral artery sign”, European Journal of General Medicine, vol. 3, no. 1, 2006.
ISNAD	Agrawal, Amit et al. “An Illustrative Case of Hyperdense Middle Cerebral Artery Sign”. European Journal of General Medicine 3/1 (March2006).
JAMA	Agrawal A, Pandit L, Shetty L, Varkey B, Manju M. An illustrative case of hyperdense middle cerebral artery sign. European Journal of General Medicine. 2006;3.
MLA	Agrawal, Amit et al. “An Illustrative Case of Hyperdense Middle Cerebral Artery Sign”. European Journal of General Medicine, vol. 3, no. 1, 2006.
Vancouver	Agrawal A, Pandit L, Shetty L, Varkey B, Manju M. An illustrative case of hyperdense middle cerebral artery sign. European Journal of General Medicine. 2006;3(1).