Anterior cerebral artery
zkadhem - 05-09-09 13:03

Anterior cerebral artery: supplies most medial portions of frontal lobes and superior medial parietal lobes. The 2 anterior cerebral arteries arise from the internal carotid artery and are part of the Circle of Willis.

Anterior Cerebral artery occlusion:
1- Paralysis of the contralateral foot and leg
2- Sensory loss in the contralateral foot and leg
3- Left sided strokes(dominant lobe) may develop transcortical motor aphasia
4- Gait apraxia
5- Urinary incontinence which usually occurs with bilateral damage in the acute phase
6- dis-inhibition and speech perseveration.
7- producing primitive reflexes (eg, grasping, sucking reflexes)
8- Altered mental status, & impaired judgment

NOTE:If stroke occurs prior to the anterior communicating artery it is usually well tolerated secondary to collateral circulation