Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 6 Issue 7

A Rarity in a Rare Case of Acute Stroke

Lakshmi Priya1*, Tamil Pavai A2 and Paranthaman P2

1Junior Resident, Department of Medicine, Government Royapettah Hospital, Chennai, India
2Professor, Department of Neurology, Government Royapettah Hospital, Chennai, India

*Corresponding Author: Lakshmi Priya, Junior Resident, Department of Medicine, Government Royapettah Hospital, Chennai, India.

Received: May 12, 2023; Published: June 26, 2023


Anterior circulation strokes involving the anterior cerebral artery territory is rarer compared to middle cerebral artery territory and especially bilateral anterior cerebral artery (ACA) territory involvement is still rarer. A middle aged chronic alcoholic and smoker male non-diabetic, non-hypertensive was brought to us for acute onset of decreased responsiveness of 8-10 hours duration. On examination, he was quadriplegic, mute and had preserved eye movements and intact brain stem reflexes. Brain imaging revealed acute infarct in bilateral anterior cerebral artery territory. Patient was treated with medical measures and the patient sensorium improved with disability in walking.

Keywords: Akinetic Mute; Quadriplegia; Acute Stroke; Anterior Cerebral Artery territory; Bilateral ACA


  1. Lin J., et al. “Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report”. Journal of International Medical Research 14 (2019): 0300060519828930.
  2. Rajasekharan C and Deepak M. “Acute onset quadriplegia”. BMJ Case Reports (2012): bcr0720114472.
  3. Nicolai J., et al. “BIPLEDs in akineticmutism caused by bilateral anterior cerebral artery infarction”. Clinical Neurophysiology 9 (2001): 1726-1728.
  4. Saleh C., et al. “Tetraparesis following an Anterior Circulation Stroke: A Case Report”. Case Reports in Neurology3 (2018): 342-345.
  5. Kofler M. “Bilateral infarction in the territory of the anterior cerebral arteries”. 54.2 (2000): 538.


Citation: Lakshmi Priya., et al. “A Rarity in a Rare Case of Acute Stroke". Acta Scientific Neurology 6.7 (2023): 29-31.


Copyright: © 2023 Lakshmi Priya., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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