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August 1, 2026Journal of Cerebrovascular and Endovascular NeurosurgeryOpen Access

Anterior cerebral artery occlusion mimicking MCA syndrome: A rare case of supplementary motor area syndrome due to thromboembolism

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Authors

MLMiguel Tusa LavieriNLNicholas LamJSJe Yeong Sone

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Overview

Case report illustrates diagnostic challenges of ACA syndrome in elderly male with thromboembolism, highlighting urgent implications.

Key Points

  • This report aims to emphasize the difficulties in diagnosing anterior cerebral artery occlusions that present similarly to middle cerebral artery syndromes.
  • Case report of a 73-year-old right-handed male with non-fluent aphasia and right-sided hemiparesis.
  • Mechanical rescue thrombectomy was performed for the management of vascular occlusion.
  • Clinical and radiographic correlation was analyzed to determine affected vascular territory.
  • Patient exhibited dense right-sided hemiparesis and non-fluent aphasia, mimicking MCA syndrome.
  • Timely identification of ACA syndrome was crucial in planning appropriate reperfusion therapy.
  • Challenges in diagnosis delayed the appropriate treatment for the patient.

Cite This Study

Lavieri et al. (2026) studied this question.

synapsesocial.com/papers/6a6d97eae258b358b3c6ab69https://doi.org/10.7461/jcen.2026.e2026.03.004
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