Clinical features of anterior cerebral artery infarction in elderly patients

WANG Guangsheng; BAO Junjie; HU Ting; TIAN Yuanyuan; HUANG Li; GU Hanpei; ZHOU Jinjin

Abstract：Objective:To analyze the clinical features of elderly patients with anterior cerebral artery(ACA)infarc-tion of different sides.Methods:Sixty-nine patients with ACA blood supply area infarction admitted from April 2019 to December 2022 were retrospectively analyzed and divided into the elderly group(≥60 years old)and the non-elder-ly group(＜60 years old),including 40 cases in the elderly group and 29 cases in the non-elderly group.The neurolog-ical dysfunction and imaging differences of different sides were compared.Results:The incidence of national institute of health stroke scale(NIHSS),speech dysfunction,aphasia,incontinence,mental behavior abnormality,depression and uri-nary incontinence in the elderly group was higher than that in the non-elderly group,and the difference was statistical-ly significant(P＜0.05).The incidence of corpus callosum infarction in the elderly group was higher than that in the non-elderly group(P＜0.05).There was no significant difference in the incidence of corpus callosum infarction be-tween knee and body(P＞0.05).The incidence of mental behavior abnormality,emotional disturbance and hemineglect in elderly patients with right side infarction was higher than that of left side infarction,and the incidence of speech dis-order in left side infarction was higher than that of right side infarction,the difference was statistically significant(P＜0.05).The proportion of infarction in the right frontal pole was higher than that in the left(P＜0.05).Conclusion:There are differences in neurological dysfunction and infarct location of ACA patients in different sides.