Thrombosis of Anterior cerebral Aery, distal to the communicating branch leads to:
*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.
Contralateral Hemiparesis
Ipsilateral hemiparesis
Incontinence
Seizures
Stroke and TIA