Hyperdense MCA and Conjugate Gaze

The CT is from a 86year old male with an acute right sided stroke. The CT shows a dense left middle cerebral artery (LMCA) (maroon overlay in b) associated with deviation of the eyes (lenses overlaid in blue in d) to the side of the lesion and away from the side of the clinical weakness. (Prevosts sign) and is commonly associated with spatial neglect.

Courtesy Ashley Davidoff MD 98535c.8s