Article Text

Download PDFPDF
Atherosclerosis in congenital azygous solitary A2 anterior cerebral artery with simultaneous bifrontal infarctions
  1. Pei Kee Loh,
  2. Vijay K Sharma
  1. Division of Neurology, National University Hospital, Singapore, Singapore
  1. Correspondence to Dr P K Loh, Division of Neurology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore; pei_kee_loh{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 67-year-old woman with hypertension presented with non-specific dizziness for 2 days. She was fully conscious with blood pressure of 208/110 mm Hg. Neurological examination was unremarkable. She was started on antihypertensive medications.

About 12 h later, she became drowsy and confused. Her blood pressure was 160/80 mm Hg. She was noted to be lethargic and had profound weakness in both lower limbs (power Medical Research Council grade 0). She was catheterised due to urinary incontinence. She was very slow in verbal as well as motor responses and progressed to akinetic mutism by the next day.

MRI of the brain revealed acute ischaemic infarctions in both frontal lobes (figure 1A,B) in the territories of the anterior cerebral arteries (ACA). Time-of-flight MR …

View Full Text


  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.