Anterior cerebral artery territory infarctions presenting with ascending tetraparesis.
We describe a patient with ascending tetraparesis following stroke. The patient presented initially with spastic paraparesis which acutely evolved to tetraparesis with abulia. Magnetic resonance imaging revealed acute infarctions in the bilateral medial frontal regions but not in the brainstem or spinal cord. Multiple infarctions in the anterior cerebral artery territory appeared to originate from artery to artery embolism. The present case provides distinct clinical features of anterior cerebral artery syndrome which mimic myelopathy or brainstem lesions.
Okamoto
Kensho
K
Department of Neurology, Ehime Prefectural Central Hospital, Ehime, Japan. kensho@athena.ocn.ne.jp
Hamada
Eri
E
Okuda
Bungo
B