Stroke in Evolution Due to Critical MCA Stenosis
An 82-year-old man presented with a right MCA clinical syndrome that started almost 24 h prior to his presentation. CT angiogram showed a near complete occlusive narrowing of the distal right M1. An acute MRI brain showed critical hypoperfusion of the right MCA territory with minimal core on DWI (Fig. 88.1). He was referred for delayed reperfusion therapy.