All right, I am not going to belabor this point because we've discussed it multiple times already. CRRT is the most effective way to treat hyperencephalopathy. So due to our patient's poor mental status, persistently poor mental status, the team gets a CT scan that shows findings significant for a subacute stroke with hyperdensity of the right middle cerebral artery. There are areas of hemorrhagic transformation with significant edema and mass effect causing midline shift. An MRI confirms a large stroke of the right frontotemporal region as well. So question number one for this session, what volume of infarct on MRI DWI has been shown to be associated with worse outcomes? All right, refresh your page if that doesn't show up, but it looks like it's good on my end. Couple more seconds. All right. The team consults the endovascular neurosurgeons to determine whether a neurointerventional procedure would benefit this patient. And neurosurgery is also consulted to discuss whether decompressive hemicraniectomy would be helpful in the management of this patient. So the next question will be which imaging modality could be helpful in an unstable patient to identify signs of malignant MCA syndrome? CT, MRI, carotid ultrasound, and transcranial Doppler. All right, looks like most people have responded.

CRRT

hyperencephalopathy

subacute stroke

neurointerventional procedures

malignant MCA syndrome