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Bilateral medial frontal infarction in a case of azygous anterior cerebral artery stenosis

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Abstract

We describe the unusual case of a 63-year-old woman with a history of arterial hypertension who presented a sudden weakness of the lower limbs followed by mutism, akinesia and dyspraxia. Magnetic resonance images showed a bilateral medial frontal infarction. Digital subtraction angiography documented a right azygous anterior cerebral artery with severe stenosis in its sub-callosal tract; the left anterior cerebral artery showed mild hypoplasia with only sub-frontal and fronto-polar branches. No embolic source was documented. Afterwards the patient presented a gradual and partial recovery of both motor and cognitive functions.

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Orlandi, G., Moretti, P., Fioretti, C. et al. Bilateral medial frontal infarction in a case of azygous anterior cerebral artery stenosis. Ital J Neuro Sci 19, 106–108 (1998). https://doi.org/10.1007/BF02427567

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  • DOI: https://doi.org/10.1007/BF02427567

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