ACA infarcts are rare because of the collateral circulation provided by the anterior communicating artery. ACA infarct can present as contralateral hemiparesis with loss of sensibility in the foot and lower extremity, sometimes with urinary incontinence. This is due to the involvement of the medial paracentral gyrus. If the lesion is very proximal, it is possible that there may be cognitive impairment due to lesions in the prefrontal cortex.

Anterior cerebral artery strokes occur in the territory of the anterior cerebral artery which involves the superior and medial part of the parietal lobe along with the midline of the frontal lobe. These are uncommon causes of ischemic infarctions, making up about 0.3%-4.4% of stroke cases in series reports. The clinical presentation of this stoke is variable as it depends on whether the anterior cerebral artery or one of its branches is involved. 

Satyendra Dhar MD, @DharSaty

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Satyendra Dhar, MD @DharSaty · 3 years ago
Hospital Medicine Clinical Assistant Professor The content and images on this website are provided for educational and informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. The views expressed are those of the authors and do not necessarily reflect those of any affiliated institutions. While efforts are made to ensure accuracy and currency, medical knowledge is continually evolving, and errors or omissions may occur. Users are advised to independently verify information and seek guidance from qualified healthcare professionals for any medical decisions. By using this website, you acknowledge responsibility for your own clinical judgments, and the website and its contributors disclaim any liability arising from the use of its content. 👉 Follow 'Medical Infographics' on 👉 https://www.DharSaty.com
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