Bilateral ACA territory infarction is an uncommon condition. Literature describes that usually due to vasospasm that occurs as a complication of subarachnoid hemorrhage, most commonly by rupture of aneurysms of the ACOM or distal ACAs 1.
Other causes of stroke within the ACA bilaterally are described, as tumor and thrombosis / embolism in patients with abnormality in the anterior part of the circle of Willis (one side ACA hypoplastic and branches of ACA contralateral supplying both lobes), but both are less frequent than the case presented.