II. Epidemiology

  1. Accounts for 2-3% of Ischemic Strokes

III. Findings: Signs and Symptoms

  1. Contralateral Hemiparesis or Hemiplegia (motor weakness)
  2. Contralateral sensory Impairments
    1. More prominent in leg, and to lesser extent head (spares forehead) and arm
  3. Expressive Aphasia or Broca's Aphasia (if CVA in dominant, left hemisphere)
  4. May be accompanied by significant cognitive, mental status and emotional deficits
    1. Confusion
    2. Amnesia
    3. Perseveration
    4. Personality change
      1. Flat affect, apathy
    5. Cognitive change
      1. Short attention span, slowness
    6. Deterioration of Intellectual Function
    7. Abulia
      1. Inability to make decisions or voluntary acts
    8. Apraxia (on affected side)
      1. Inability to perform familiar (previously learned) movements

IV. References

  1. (2019) Neuro-Psych, CCME National Board Review Course, accessed 6/7/2019

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Related Studies

Ontology: Infarction, Anterior Cerebral Artery (C0751843)

Definition (MSH) NECROSIS occurring in the ANTERIOR CEREBRAL ARTERY system, including branches such as Heubner's artery. These arteries supply blood to the medial and superior parts of the CEREBRAL HEMISPHERE, Infarction in the anterior cerebral artery usually results in sensory and motor impairment in the lower body.
Concepts Disease or Syndrome (T047)
MSH D020243
French Infarctus de l'ACA, Infarctus de l'artère cérébrale antérieure, Infarctus du territoire de l'ACA, Infarctus du territoire de l'artère cérébrale antérieure
Swedish Infarkt, främre hjärnartär
English INFARCT ACA, INFARCT ANTERIOR CEREBRAL ARTERY CIRCULATION, INFARCT ANTERIOR CEREBRAL ARTERY DISTRIBUTION, ACA INFARCT, ANTERIOR CEREBRAL ARTERY INFARCT, stroke of anterior cerebral artery (diagnosis), stroke of anterior cerebral artery, ACA Infarction, ACA Infarctions, Infarction, ACA, Infarctions, ACA, Infarction, Anterior Cerebral Artery Circulation, Infarction, Anterior Cerebral Artery Distribution, Anterior Cerebral Artery Infarction, Infarction, Anterior Cerebral Artery, Anterior Cerebral Artery Stroke, Stroke, Anterior Cerebral Artery, anterior cerebral artery stroke, Infarction, Anterior Cerebral Artery [Disease/Finding]
Czech arteria cerebri anterior - infarkt, arteria cerebri anterior - mrtvice
Finnish Etumaisen aivovaltimon alueen infarkti
Russian MOZGA GOLOVNOGO ARTERII PEREDNEI INFARKT, TSEREBRAL'NOI ARTERII PEREDNEI INFARKT, KHEIBNERA ARTERII INFARKT, МОЗГА ГОЛОВНОГО АРТЕРИИ ПЕРЕДНЕЙ ИНФАРКТ, ХЕЙБНЕРА АРТЕРИИ ИНФАРКТ, ЦЕРЕБРАЛЬНОЙ АРТЕРИИ ПЕРЕДНЕЙ ИНФАРКТ
Japanese 卒中-ヒューブナー動脈, 前大脳動脈卒中, ホイブナー動脈卒中, 卒中-前大脳動脈, ヒューブナー動脈卒中, 卒中-ホイブナー動脈, 梗塞-前大脳動脈, 前大脳動脈梗塞
Polish Zawał obszaru tętnicy mózgowej przedniej, Zawał regionu tętnicy mózgowej przedniej
Norwegian Blodpropp i arteria cerebri anterior, Infarkt i arteria cerebri anterior, Blodpropp i fremre hjernearterie, Hjerneinfarkt, arteria cerebri anterior, Infarkt i fremre hjernearterie
Portuguese Acidente Cerebrovascular da Artéria Cerebral Anterior, Derrame da Artéria Cerebral Anterior, Ictus da Artéria Cerebral Anterior, Infarto da Artéria Cerebral Anterior
German A. cerebri anterior, Schlaganfall, A. cerebri anterior-Infarkt, Infarkt, A. cerebri anterior, Schlaganfall, A. cerebri anterior
Italian Infarto dell'arteria cerebrale anteriore
Dutch Arteria-cerebralis-anteriorinfarct, CVA, arteria verebralis anterior, Infarct van de arteria cerebralis anterior
Spanish Ataque de la Arteria Cerebral Anterior, Infarto de la Arteria Cerebral Anterior