case_images: PMC10783264_01
case_images: (A) An initial axial head CT scan without contrast upon admission revealed no discernible pathological abnormalities. (B) A subsequent head CT scan without contrast, conducted on the following day, displayed a substantial hypodense area in the right frontal-parieto-temporal lobes, leading to a pronounced mass effect. This was characterized by the loss of distinction between gray and white matter, obliteration of the underlying sulci, compression of the right lateral ventricle, and a substantial 11 mm midline shift toward the left side.
case_images: ms9-86-517-g001.jpg
case_images: PMC10783264_01_ms9-86-517-g001.jpg
case_images: F1
case_images: An initial head CT scan showed no pathological findings (Fig. 1), but due to clinical deterioration and decreased consciousness, a repeated CT scan was performed along with an MRI (Fig. 2).
case_images: The MRA image displays occlusion of the right anterior cerebral and middle cerebral arteries (indicated by arrows) resulting from the complete blockage of the intracranial supra-clinoid segment of the right internal carotid artery (ICA).
case_images: ms9-86-517-g003.jpg
case_images: PMC10783264_01_ms9-86-517-g003.jpg
case_images: F3
case_images: The MRI revealed a massive infarction in the MCA region, confirmed by MRA and CT angiogram (Fig. 3), with evidence of cerebral edema.