Partial anterior circulation infarct
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Partial anterior circulation infarct (PACI) is a type of
cerebral infarction A cerebral infarction is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). It is caused by disrupted blood supply ( ischemia) and restricted oxygen supply ( hypoxia), most commonly due to thromboemb ...
affecting part of the
anterior Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek language, Greek roots, describe something in its standard anatomical position. Th ...
circulation supplying one side of the
brain A brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as Visual perception, vision. I ...
. Partial anterior circulation stroke syndrome (PACS) refers to the symptoms of a patient who clinically appears to have had a partial anterior circulation infarct, but who has not yet had any diagnostic imaging (e.g. CT Scan) to confirm the diagnosis. It is diagnosed by any one of the following * 2 out of 3 features of ** Higher dysfunction ***
Dysphasia Aphasia is an inability to comprehend or formulate language because of damage to specific brain regions. The major causes are stroke and head trauma; prevalence is hard to determine but aphasia due to stroke is estimated to be 0.1–0.4% in th ...
*** Visuospatial disturbances **
Homonymous hemianopia Hemianopsia, or hemianopia, is a visual field loss on the left or right side of the vertical midline. It can affect one eye but usually affects both eyes. Homonymous hemianopsia (or homonymous hemianopia) is hemianopic visual field loss on the s ...
** Motor and Sensory Defects (>2/3 of face, arm, leg) * Higher dysfunction alone * Partial Motor or Sensory Defect If all of the above symptoms are present, a
Total Anterior Circulation Infarct Total anterior circulation infarct (TACI) is a type of cerebral infarction affecting the entire anterior circulation supplying one side of the brain. Total anterior circulation stroke syndrome (TACS) refers to the symptoms of a patient who clin ...
is more likely. For more information, see
stroke A stroke is a disease, medical condition in which poor cerebral circulation, blood flow to the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemorr ...
.


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