Research Article

Implications of the Presence of Hyperdense Middle Cerebral Artery Sign in Determining the Subtypes of Stroke Etiology

Table 3

Characteristics of HMCAS in different stroke subtypes.

CharacteristicsTotal ()Cardioembolism ()LAA ()Others () value

Thrombus location
 ICA—no. (%)9 (9.1)7 (12.1)1 (4.6)1 (5.3)0.495
 MCA-M1—no. (%)59 (59.6)30 (51.7)15 (68.2)14 (73.7)
 MCA-M2—no. (%)31 (31.3)21 (36.2)6 (27.3)4 (21.1)
HMCAS length—median (IQR)15.8 (11.8-22.8)18.1 (12.2-24.2)13.9 (11.9-21)13.3 (9.4-25.2)0.241
HMCAS disappearance—no. (%)72 (75.8)34 (63.0)20 (91.0)18 (94.7)0.004
Type of HMCAS disappearance
 No longer seen—no. (%)23 (31.9)7 (20.6)9 (45)7 (38.9)0.055
 Decreased attenuation—no. (%)42 (58.3)25 (73.5)10 (50)7 (38.9)
 Migration—no. (%)7 (9.7)2 (5.9)1 (5)4 (22.2)

HMCAS: hyperdense middle cerebral artery sign; ICA: internal carotid artery; IQR: interquartile range; LAA: large-artery atherosclerosis; MCA-M1: middle cerebral artery-M1 segment; MCA-M2: middle cerebral artery-M2 segment.