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Neurology 1999;52:886
© 1999 American Academy of Neurology
Brief Communications

Bilateral infarction in the territory of the anterior cerebral arteries

Alireza Minagar, MD and Noble J. David, MD

From the Department of Neurology, University of Miami, FL.

Address correspondence and reprint requests to Dr. Minagar, Department of Neurology, University of Miami (D4–5), P.O. Box 016960, Miami, FL 33101.

An elderly hypertensive man had extensive bilateral infarction in the distribution of the anterior cerebral arteries. The circle of Willis was fully formed, but occlusion of the dominant anterior cerebral artery, aggravated and perhaps caused by postlaparotomy hypotension, produced the dramatic lesions, causing akinetic mutism. This stroke pattern occurs in various settings and does not require an anomalous azygous unilateral supply to both anterior cerebral arteries.




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