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J Neurol Neurosurg Psychiatry 76:iii19-iii28 doi:10.1136/jnnp.2005.075168

Imaging of acute stroke and transient ischaemic attack

Table 1

 Early ischaemic changes on non-contrast CT

MCA, middle cerebral artery.
• Hyperdense arteries (most commonly proximal MCA or MCA sylvian “dot”)
• Lentiform nucleus hypodensity
• Loss of “insular ribbon” (definition of grey from white matter)
• Loss of cortical grey-white matter differentiation
• Hemispheric sulcal effacement
• Local compression of lateral ventricles

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