What is the clinical presentation of anterior cerebral artery (ACA) occlusions in ischemic stroke?

Updated: May 27, 2020
  • Author: Edward C Jauch, MD, MS, FAHA, FACEP; Chief Editor: Helmi L Lutsep, MD  more...
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Anterior cerebral artery (ACA) occlusions primarily affect frontal lobe function. Findings in ACA stroke may include the following:

  • Disinhibition and speech perseveration

  • Primitive reflexes (eg, grasping, sucking reflexes)

  • Altered mental status

  • Impaired judgment

  • Contralateral weakness (greater in legs than arms)

  • Contralateral cortical sensory deficits

  • Gait apraxia

  • Urinary incontinence

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