Thrombosis of Anterior cerebral Aery, distal to the communicating branch leads to:
Contralateral Hemiparesis
Ipsilateral hemiparesis
Incontinence
Seizures
*Proximal ACA occlusion is usually well tolerated because of collateral flow through the anterior communicating aery and collaterals through the MCA and PCA. * Distal ACA occlusion can lead to Profound abulia (a delay in verbal and motor response) Bilateral pyramidal signs Paraparesis or quadriparesis Urinary incontinence.
Stroke and TIA