Anterior cerebral artery territory infarct

Case contributed by Dr Henry Knipe


Left weakness and dysphasia for 3.5 hours.

Patient Data

Age: 40 years
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 than MCA territory infarcts. Cardio-embolic events are the most common cause. 

PlayAdd to Share

Case information

rID: 39327
Published: 1st Sep 2015
Last edited: 14th Aug 2019
Tag: stroke
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.