J Korean Neurol Assoc.  2025 Feb;43(1):28-30. 10.17340/jkna.2024.0061.

Unilateral Anterior Cerebral Artery Infarction Presenting with Sensory Level

Affiliations
  • 1Department of Neurology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea

Abstract

The author reports a patient with anterior cerebral artery (ACA) territory infarction presenting with myelopathy-like symptoms. The patient developed leg weakness and sensory loss below T4 level on the right side. Magnetic resonance imaging revealed no abnormalities in the spinal cord, but acute infarction in the left medial frontal lobe and stenosis of the left ACA. This case presents unusual clinical manifestation of ACA infarction mimicking myelopathy.

Keyword

Infarction; Anterior cerebral artery; Spinal cord diseases
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