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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Evolution of changes in the computed tomography scans of the brain of a patient with left middle cerebral artery infarction: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Evolution of changes in the computed tomography scans of the brain of a patient with left middle cerebral artery infarction a case report Kurien John Parag Singhal and Chris Cook Address Weston General Hospital Weston-super-Mare Somerset BS23 4TQ UK Email Kurien John - kurien.john@doctors.org.uk Parag Singhal - parag.singhal@waht.swest.nhs.uk Chris Cook - chris.cook@waht.swest.nhs.uk Corresponding author Published 8 May 2008 Received 5 September 2007 Journal of Medical Case Reports 2008 2 148 doi 10.1186 1752-1947-2-148 Accepted 8 May 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 148 2008 John et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Stroke is a common and important condition in medicine. Effective early management of acute stroke can reduce morbidity and mortality. Case presentation A 63-year-old man presented to the Accident and Emergency department with a history of collapse and progressive right-sided weakness. Clinically this was a cerebrovascular accident affecting the left hemisphere of the brain causing right hemiplegia. Computed tomography scans performed 3 days apart showed the evolution of infarction in the brain caused by the thrombus in the left middle cerebral artery. This is one of the early signs for stroke seen on computed tomography imaging and it is called the hyperdense middle cerebral artery sign. Conclusion Patients admitted with a stroke undergo CT brain within 24 hours. The scan usually takes place at admission into the hospital and is done to rule out a bleed or a space occupying lesion