Computed tomography (CT) for stroke
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Computed tomography (CT) for stroke. The dense MCA sign. The multi-segment clot (MSC) sign. Fully referenced neurology checklist.
Signs of stroke on CT
- The dense MCA sign
- The multi-segment clot (MSC) sign
- The loss of the insula ribbon sign
- The fogging effect
Differential diagnosis of the MCA sign
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CT ASPECTS scoring
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References
- Chalela JA, Kasner SE. The fogging effect. Neurology 2000; 55:315.
- Jha B, Kothari M. Pearls & oy-sters: hyperdense or pseudohyperdense MCA sign: a Damocles sword? Neurology 2009; 72:e116-e117.
- Chen Z, Shi F, Zhang M, Gong X, Lin L, Lou M. Prediction of the multisegment clot sign on dynamic CT angiography of cardioembolic stroke. Am J Neuroradiol 2018; 39:663-668.
- Shi F, Chen Z, Gong X, Zhang M, Liebeskind DS, Lou M. Presence of multi-segment clot sign on dynamic CT angiography: a predictive imaging marker of recanalisation and good outcome in acute ischaemic stroke patients. Eur Radiol 2018; 28:3413-3421.
- Truwit CL, Barkovich AJ, Gean-Marton A, Hibri N, Norman D. Loss of the insular ribbon: another early CT sign of acute middle cerebral artery infarction. Radiology 1990; 176:801-806.
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