Teaching NeuroImage: Atypical Anterior Cerebral Artery Syndrome From Pericallosal Artery Infarct

A 76-year-old right-handed woman presented with sudden right-sided weakness and mutism. Examination revealed transcortical motor aphasia, right arm apraxia and spasticity, and right leg hemiplegia. She demonstrated abulia, anosognosia, and emotional lability. CT angiogram demonstrated a left pericallosal artery occlusion (Figure 1). The patient received tPA. MRI demonstrated an infarct spanning the left supplementary motor area (SMA) and anterior cingulate cortex (Figure 2).1

Read article at journal's website

Related Articles


Your email address will not be published. Required fields are marked *