Anterior cerebral artery territory infarction in the Lausanne Stroke Registry. Clinical and etiologic patterns.

We studied 27 patients with acute stroke and a corresponding infarct in the anterior cerebral artery territory, as disclosed using computed tomography. Patients were selected from 1490 patients (1.8%) admitted consecutively to a community-based primary care center who underwent standard investigations. An embolic phenomenon from the internal carotid artery or from the heart explained the infarct in 17 patients (63%). Anterior cerebral artery occlusion without a potential source of embolism was found only in one Vietnamese patient. Neurologic features correlated well with the topography and size of infarct, including hemiparesis, hemihypesthesia, mutism at onset, transcortical motor aphasia, conflictual tasks impairment, mood disturbances, and, more uncommonly, incontinence, grasp reflex, hemineglect, acute confusional state, and unilateral left apraxia. These findings suggest that the etiologic spectrum of anterior cerebral artery infarcts is the same as that of middle cerebral artery infarcts.

[1]  J. Bogousslavsky,et al.  The Lausanne Stroke Registry: analysis of 1,000 consecutive patients with first stroke. , 1988, Stroke.

[2]  J. Bogousslavsky,et al.  Acute transcortical mixed aphasia. A carotid occlusion syndrome with pial and watershed infarcts. , 1988, Brain : a journal of neurology.

[3]  F. Mastaglia,et al.  "Alien hand" and loss of bimanual coordination after dominant anterior cerebral artery territory infarction. , 1988, Journal of neurology, neurosurgery, and psychiatry.

[4]  E. Ross,et al.  Left‐handed mirror writing following right anterior cerebral artery infarction , 1988, Neurology.

[5]  S. Phillips,et al.  Basal forebrain infarction. A clinicopathologic correlation. , 1987, Archives of neurology.

[6]  K M Heilman,et al.  Apraxia and the supplementary motor area. , 1986, Archives of neurology.

[7]  G. Schell,et al.  Transient neurological deficit after therapeutic embolization of the arteries supplying the medial wall of the hemisphere, including the supplementary motor area. , 1986, Neurosurgery.

[8]  M Freedman,et al.  Anatomic basis of transcortical motor aphasia , 1984, Neurology.

[9]  H. J. Gelmers,et al.  Non-paralytic motor disturbances and speech disorders: the role of the supplementary motor area. , 1983, Journal of neurology, neurosurgery, and psychiatry.

[10]  A. Fox,et al.  Occurrence and mechanisms of occlusion of the anterior cerebral artery. , 1983, Stroke.

[11]  R. Gur,et al.  Mutism as a consequence of callosotomy. , 1983, Journal of neurosurgery.

[12]  C. Plank,et al.  Language disorder in a right‐hander after occlusion of the right anterior cerebral artery , 1982, Neurology.

[13]  C. Manelfe,et al.  Pure motor hemiplegia: CT study of 30 cases. , 1982, Stroke.

[14]  M. Bodosi,et al.  Balloon catheter as a model of cerebral emboli in humans. , 1982, Stroke.

[15]  G. Goldberg,et al.  Medial frontal cortex infarction and the alien hand sign. , 1981, Archives of neurology.

[16]  F. Gray,et al.  Bilateral infarction of the anterior cingulate gyri and of the fornices Report of a case , 1981, Journal of the Neurological Sciences.

[17]  S A Berman,et al.  Correlation of CT cerebral vascular territories with function: II. Posterior cerebral artery. , 1981, AJR. American journal of roentgenology.

[18]  M. Alexander,et al.  The aphasia syndrome of stroke in the left anterior cerebral artery territory. , 1980, Archives of neurology.

[19]  A. Yamadori,et al.  Left unilateral agraphia and tactile anomia. Disturbances seen after occulusion of the anterior cerebral artery. , 1980, Archives of neurology.

[20]  E. Ross,et al.  Left medial parietal lobe and receptive language functions , 1980, Neurology.

[21]  A. Racy,et al.  Aphasia resulting from occlusion of the left anterior cerebral artery. Report of a case with an old infarct in the left Rolandic region. , 1979, Archives of neurology.

[22]  H. Funkenstein,et al.  Aphasia following infarction of the left supplementary motor area , 1978, Neurology.

[23]  A. Rhoton,et al.  Microsurgical anatomy of the distal anterior cerebral artery. , 1978, Journal of neurosurgery.

[24]  L. Vignolo,et al.  Computer Assisted Tomography in Neuropsychological Research: A Simple Procedure For Lesion Mapping , 1978, Cortex.

[25]  A. Kertesz,et al.  Isotope localization of infarcts in aphasia. , 1977, Archives of neurology.

[26]  A. Harris,et al.  Surgical anatomy of the proximal anterior cerebral artery. , 1976, Journal of neurosurgery.

[27]  R. Marino.  The anterior cerebral artery: I. Anatomo-radiological study of its cortical territories. , 1976, Surgical neurology.

[28]  A. Rubens.  Aphasia With Infarction in the Territory of the Anterior Cerebral Artery , 1975, Cortex.

[29]  Theodor Ritter von Stockert.  Aphasia sine aphasia , 1974 .

[30]  F. Freemon.  Akinetic mutism and bilateral anterior cerebral artery occlusion , 1971, Journal of neurology, neurosurgery, and psychiatry.

[31]  B. Ring,et al.  Roentgenographic anatomy of the pericallosal arteries. , 1968, The American journal of roentgenology, radium therapy, and nuclear medicine.

[32]  C. Fisher,et al.  Homolateral ataxia and crural paresis: A vascular syndrome1 , 1965, Journal of neurology, neurosurgery, and psychiatry.

[33]  A. G. Baptista.  Studies on the arteries of the brain , 1963, Neurology.

[34]  Nielsen Jm,et al.  Clinicopathologic study of vascular lesions of the anterior cingulate region. , 1955 .

[35]  B. Pertuiset,et al.  [Function of the cortical area of the anterior cerebral artery: semeiologic relations between traumatic and tumoral vascular syndromes]. , 1955, La Presse medicale.

[36]  R W BARRIS,et al.  Bilateral Anterior Cingulate Gyrus Lesions , 1953, Neurology.

[37]  Nielsen Jm,et al.  Bilateral lesions of the anterior cingulate gyri; report of case. , 1951 .

[38]  H. H. Hyland.  THROMBOSIS OF INTRACRANIAL ARTERIES REPORT OF THREE CASES INVOLVING, RESPECTIVELY, THE ANTERIOR CEREBRAL, BASILAR AND INTERNAL CAROTID ARTERIES , 1933 .

[39]  M. Critchley.  THE ANTERIOR CEREBRAL ARTERY, AND ITS SYNDROMES , 1930 .

[40]  K. Bonhoeffer.  Klinischer und anatomischer Befund zur Lehre von der Apraxie und der “motorischen Sprachbahn”. , 1914 .

[41]  Dr. phil. et med. H. Liepmann.  Das Krankheitsbild der Apraxie (“motorische Asymbolie”) auf Grund eines Falles von einseitiger Apraxie (Schluss.) , 1900 .

[42]  J. Stroop.  Studies of interference in serial verbal reactions. , 1992 .

[43]  A. Autret,et al.  [Conference at Salpêtrière. October 1986. Sudden akinetic mutism and EEG abnormalities in a 89-year-old woman]. , 1988, Revue neurologique (Paris).

[44]  S. Kazui,et al.  A clinical study of patients of cerebral infarction localized in the territory of anterior cerebral artery , 1987 .

[45]  R. Rodda.  The arterial patterns associated with internal carotid disease and cerebral infarcts. , 1986, Stroke.

[46]  F. Umansky,et al.  Microsurgical anatomy of the recurrent artery of Heubner. , 1984, Journal of neurosurgery.

[47]  B. Shahani,et al.  The grasp reflex and perseveration. , 1970, Brain : a journal of neurology.

[48]  W. G. Hardy,et al.  Proximal occlusion of the anterior cerebral artery. , 1960, Archives of neurology.

[49]  H. Liepmann,et al.  Fall von linksseitiger Agraphie und Apraxie bei rechtseitiger Lahmung , 1907 .

[50]  William W. Lesem.  The comparative anatomy of the anterior cerebral artery , 1905 .

[51]  Henri Duret,et al.  Recherches anatomiques sur la circulation de l'encéphale , 1874 .