Mohammed Alanazy and Anas Mohammad Albarrak
A 60-year-old right-handed woman presented with acute disorientation. Neurological examination showed impaired short-term memory, disorientation to time and place, and flattened right nasolabial fold. Brain MRI showed acute ischemic stroke in the territory of anterior choroidal artery (AChA) involving left mesial temporal, globuspallidus, posterior limb of internal capsule and lateral thalamus. The classic clinical findings in AchA stroke include contralateral hemiparesis, hemianaesthesia and hemianopia. Disorientaiton occurs only in 2.7% of AChA stroke . Recognition of such an uncommon presentation of AChA stroke is important to avoid missing an opportunity for thrombolysis in soma for sale the appropriate clinical setting.