{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:23:39Z","timestamp":1791851019807,"version":"4.3.4"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2008,6,2]],"date-time":"2008-06-02T00:00:00Z","timestamp":1212364800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Simultaneous bilateral cerebrovascular infarction is relatively rare and its initial presentation as a space-occupying lesion is extremely uncommon. However, bilateral infarction can result from unilateral occlusion of anomalous cerebral vasculature.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>We report the case of a man presenting with lower limb weakness and aphasia of acute onset with initial computerised tomography suggesting bifrontal neoplasm. However, further investigation confirmed bilateral anterior cerebral artery territory infarction with a hypoplastic left anterior cerebral artery with the right anterior cerebral artery supplying both frontal lobes (an anatomical variant). We present the clinical and diagnostic features of this presentation and attempt to ascertain, by reviewing existent medical literature, the frequency and patterns of structural variations in cerebral vasculature.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Simultaneous bilateral cerebral infarction can be the result of a unilateral cerebral artery occlusion and this can potentially mimic a space-occupying lesion. Anomalies of cerebral vasculature are not as rare as is usually believed and this should be borne in mind when investigating unusual presentations of cerebrovascular infarction.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1752-1947-2-188","type":"journal-article","created":{"date-parts":[[2008,6,3]],"date-time":"2008-06-03T06:14:44Z","timestamp":1212473684000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Acute bilateral anterior circulation stroke due to anomalous cerebral vasculature: a case report"],"prefix":"10.1186","volume":"2","author":[{"given":"Brian F.","family":"Menezes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverley","family":"Cheserem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jothy","family":"Kandasamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donnacha","family":"O'Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2008,6,2]]},"reference":[{"key":"375_CR1","first-page":"61","volume":"70","author":"PJ Hodes","year":"1953","unstructured":"Hodes PJ, Campoy F, Riggs HE, Bly P: Cerebral angiography: fundamentals in anatomy and physiology. 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Neurology. 1963, 13: 825-835.","journal-title":"Neurology"},{"key":"375_CR8","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1093\/brain\/53.2.120","volume":"53","author":"M Critchley","year":"1930","unstructured":"Critchley M: The anterior cerebral artery and its syndromes. Brain. 1930, 53: 120-165. 10.1093\/brain\/53.2.120.","journal-title":"Brain"},{"key":"375_CR9","first-page":"422","volume":"22","author":"K Yamaguchi","year":"2004","unstructured":"Yamaguchi K, Uchino A, Sawada A, Takase Y, Kuroda Y, Kudo S: Bilateral anterior cerebral artery territory infarction associated with unilateral hypoplasia of the A1 segment: report of two cases. 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