Cardioembolic stroke in the left MCA, 2 hours after onset.

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Presentation transcript:

Cardioembolic stroke in the left MCA, 2 hours after onset. Cardioembolic stroke in the left MCA, 2 hours after onset. A, MRA shows lack of time-of-flight signal intensity in the distal M1 segment of the left MCA. B, FLAIR image displays intra-arterial signal intensity (arrow) of the left MCA branches along the lateral sulcus, indicating acute occlusion. C, DWI shows a small hyperintense lesion within the territory of the left MCA. D, SWI reveals localized hyposignal (arrow) in the left M1 segment, representing the acute thromboembolus itself. E and F, SWI demonstrates prominently hypointense cortical veins within the left MCA territory, suggesting relatively increased deoxyhemoglobin in the draining veins within the acutely ischemic region. G and H, The MTT map shows delayed transit times in the left MCA territory, matching SWI well. I, The rCBF is moderately reduced. Courtesy of Dr Masahiro Ida, Ebara Hospital, Tokyo, Japan. S. Mittal et al. AJNR Am J Neuroradiol 2009;30:232-252 ©2009 by American Society of Neuroradiology