DOI: 10.36347/sjams.2022.v10i10.010

Pages: 1642-1646

One in six people in worldwide tends to have a stroke in their lifetime. Of all stroke incidents, 70% are ischemic strokes. Prevalence of stroke in Indonesia has increased from 7 to 10.9 per mile 1000 population from 2013 to 2018. The middle cerebral artery region is the foremost commonly influenced region in cerebral infarction, due to the large area of vascularisation. This article aims to report the radiographic feature of a case about MCA Sign and review if thrombectomy can be another therapy option as the preventive and progressive strategy in managing MCA Sign stroke infarct. The patient, in this case, came to the hospital with clinical presentations including loss of consciousness, hemiplegia sinistra, and dysarthria. Middle cerebral artery infarction appears as a hyperdense lesion as thrombus can be found as an early sign. Unenhanced CT of the brain should be done immediately. Thrombolytic is the main pharmacotherapy. Endovascular thrombectomy is recommended to be done within 4.5 hours after onset.