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. 2020 Sep 6;32(4):194–198. doi: 10.1016/j.neucir.2020.08.001

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© 2020 Sociedad Española de Neurocirugía. Published by Elsevier España, S.L.U. All rights reserved.

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Fig. 2 — Malignant stroke. Right ACM obstruction. (A, B) CTA: Stop in M1 and absence of flow in the right insular region of the r-ACM (Yellow Arrow); contralateral normal flow (Black Arrow). (C) A malignant infarction (*) of the r-ACM that exerts midline deviation. (D, E) Right decompressive hemicraniectomy with an improvement of midline displacement. (F, G) Angiography: The absence of flow in the r-ACM. Thrombus in segment M1 (yellow Arrow). (H, I) Flow restored in r-ACM after thrombectomy (Red Arrow). CTA: CT-Angio, CT: Computerized Tomography, r-MCA: Right Middle Cerebral Artery, ACA (Anterior Cerebral artery), PCA (Posterior Cerebral Artery).