TY - JOUR T1 - Hyperdense middle cerebral artery sign JF - Practical Neurology JO - Pract Neurol SP - 264 LP - 265 DO - 10.1136/practneurol-2013-000672 VL - 14 IS - 4 AU - Cynthia Kenmuir AU - R Victoria Totoraitis AU - Tudor Jovin AU - Ashutosh Jadhav Y1 - 2014/08/01 UR - http://pn.bmj.com/content/14/4/264.abstract N2 - A 30-year-old woman, previously well, presented to an outside hospital after being found lying on her bedroom floor, with a history of confusion, headache, déjà vu and fever. She had been discharged the day before having had normal investigations for headache, including a CT and MR scans, both read as normal. Laboratory studies showed a urinary tract infection with leucocytosis, but she was afebrile. She was discharged home with medications to treat her urinary tract infection and headache. During a second presentation to the outside hospital, her cerebrospinal fluid (CSF) showed a pleocytosis and she was started on acyclovir, empirically to treat viral encephalitis. EEG showed right-sided sharp waves. Her neurological condition further deteriorated and she was intubated for airway protection and transferred to the Presbyterian Hospital. On examination, she was … ER -