Anterior cerebral artery territory infarct

Case contributed by Dr Henry Knipe

Presentation

Left weakness and dysphasia for 3.5 hours.

Patient Data

Age: 42
Gender: Male

Grey-white differentiation is preserved. Hyperdense right anterior cerebral artery, with filling defect of the the right A1 segment and subtle under-filling of the A2 segment on CTA.

Fat density lesion within the right posteriorly paravertebral space likely represents lipoma.

Restricted diffusion confined to the right anterior cerebral artery territory is present consistent with infarction.

Case Discussion

ACA territory infarcts are much less common then MCA territory infarcts. Cardio-embolic events are the most common cause. 

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Case information

rID: 39327
Case created: 1st Sep 2015
Last edited: 19th Nov 2015
Inclusion in quiz mode: Included

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