Code Stroke

CT findings in acute stroke.pdf

#tweetorial CT Findings in Acute Stroke by Lea Alhilali, MD 


Hyperdense MCA Sign / MCA Dot Sign

The hyperdense MCA sign refers to focal hyperdensity of the MCA on non-contrast brain CT and is the direct visualization of thromboembolic material within the lumen

Radiopaedia

The MCA dot sign is an early marker of thromboembolic occlusion of the distal MCA branches seen in the Sylvian fissure (M2 segment). The principally affected area of the brain is the insula.

Radiopaedia


Hyperdense Basilar Artery

Top of the basilar syndrome, also known as rostral brainstem infarction, is a condition where the top portion of the basilar artery becomes blocked by a blood clot, leading to reduced blood flow. This blockage causes ischemia, or lack of blood supply, to both thalamic regions in the brain due to the occlusion of small blood vessels known as perforators.

Top of the basilar occlusion is typically caused by an embolus, a blood clot that travels from another location and gets lodged in the artery. On the other hand, mid-basilar occlusion is often caused by the formation of a blood clot directly within the basilar artery due to complications from atherosclerosis.

In computed tomography (CT) scans, it is important to identify a hyperdense basilar artery, which appears brighter than the surrounding structures. This finding is crucial for diagnosing acute basilar artery occlusion.

Stroke etiology by @teachplaygrub.pdf

#tweetorial Patterns of Infarction by Lea Alhilali, MD 


Carotid Plaque by @teachplaygrub .pdf

#tweetorial Carotid Plaque by Lea Alhilali, MD 


Fetal Origin by @aaronrutman .pdf