Certified Travel Counselor (CTC) Practice Exam

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A patient has contralateral leg weakness that is substantially greater than arm weakness after an ischemic stroke. Which vascular territory is most consistent with this pattern?

Anterior cerebral artery Middle cerebral artery Posterior cerebral artery Posterior inferior cerebellar artery

Correct Answer:

Anterior cerebral artery

Explanation:

The anterior cerebral artery supplies the medial frontal and parietal regions that contain much of the motor and sensory representation for the contralateral lower extremity, so leg-predominant deficits are characteristic.

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