Anterior Cerebral Artery CVA


Anterior Cerebral Artery CVA, ACA CVA, Cerebrovascular Accident of Anterior Cerebral Artery

  • Epidemiology
  1. Accounts for 2-3% of Ischemic Strokes
  • Findings
  • Signs and Symptoms
  1. Contralateral Hemiparesis or Hemiplegia (motor weakness)
  2. Contralateral sensory Impairments
    1. More prominent in leg, and to lesser extent head (spares forehead) and arm
  3. Expressive Aphasia or Broca's Aphasia (if CVA in dominant, left hemisphere)
  4. May be accompanied by significant cognitive, mental status and emotional deficits
    1. Confusion
    2. Amnesia
    3. Perseveration
    4. Personality change
      1. Flat affect, apathy
    5. Cognitive change
      1. Short attention span, slowness
    6. Deterioration of Intellectual Function
    7. Abulia
      1. Inability to make decisions or voluntary acts
    8. Apraxia (on affected side)
      1. Inability to perform familiar (previously learned) movements
  • References
  1. (2019) Neuro-Psych, CCME National Board Review Course, accessed 6/7/2019