Anterior Cerebral Artery Branch Occlusion
A 58-year-old woman presented with global aphasia and right hemiparesis shortly after she woke up. CT angiogram showed left A2-ACA occlusion (Fig. 87.1a, b). The patient was treated with IV tPA and then transferred for endovascular intervention. Diagnostic runs showed persistent occlusion of the ACA. An incidental aneurysm of the right PCom was noted (Fig. 87.1c, d).