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Case Reports
. 1998 Apr;19(2):106-8.
doi: 10.1007/BF02427567.

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

G Orlandi  1 , P Moretti, C Fioretti, M Puglioli, P Collavoli, L Murri
Affiliations
Case Reports

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

G Orlandi et al. Ital J Neurol Sci. 1998 Apr.

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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