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Features of Anterior cerebral artery occlusion

Main Artery Occlusion:clinical features
  • Contralateral hemiplegia affecting Lowerlimb more than Upperlimb.
  • Contralateral cortical sensory loss in live lower limb.
  • Incontinence of urine.
  • Mentality and personality changes.
  • Forced grasp reflex.
Capsular branch occlusion (Heubner Artery) clinical features
  • Faciobrachial monoplegia which is proximal more than distal, i.e. involving the shoulder more than the hand.
Cortical Branches occlusion clinical features

Frontal vessel occlusion: clinical features
  • Mentality and personality changes.
  • Forced grasp reflex.
Paracentral vessel occlusion:
  • Monoplegia in the lower limb.
  • Cortical sensory loss in the lower limb.
  • Urinary incontinence.
Callosal vessel occlusion:
  • Apraxia of the left side.