Acute dysarthria, dense left hemiparesis and left sensory neglect: is it striatocapsular infarction?

DESCRIPTION A 52-year-old right-handed hypertensive patient presented with sudden onset of dense flaccid left-sided weakness. There was atrial fibrillation, dysarthria, moderate leftsided facial weakness, left sensory hemineglect and left extensor planter. Her CT brain scan showed a hypodense comma-shaped area at the right basal ganglia. Her brain MRI (figure 1) and MR angiography (figure 2) were obtained on day 2 of admission.