Question 2415
{"accessible":false,"alternatives":[{"id":11883,"text":"middle cerebral artery, anterior temporal branch"},{"id":11886,"text":"middle cerebral artery, inferior division"},{"id":11884,"text":"middle cerebral artery, M1 segment"},{"id":11885,"text":"middle cerebral artery, superior division"}],"archived":false,"correctAlternativeId":11885,"explanation":"\u003cp\u003eThe middle cerebral artery (MCA) has some anatomic variation with the most common branching\u0026nbsp;pattern a bifurcation resulting in a\u0026nbsp;superior and inferior division.\u003c/p\u003e\u003cp\u003eThe superior division supplies the frontal lobe, and is most likely affected in the setting of an isolated \u003ca href=\"/articles/broca-aphasia\"\u003eBroca\u0026nbsp;aphasia\u003c/a\u003e. If the middle cerebral artery M1 segment was occluded, one would expect complete aphasia. The anterior temporal artery typically supplies the anterior aspect of the temporal lobe and would not be expected to result in aphasia if occluded. \u003ca href=\"/articles/wernicke-aphasia\"\u003eWernicke\u0026nbsp;aphasia\u003c/a\u003e is often affected in the setting of an MCA, inferior division occlusion.\u003c/p\u003e","id":2415,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2591","nextQuestionPath":"/articles/ischaemic-stroke/questions/2414","relatedArticles":[{"id":34332,"title":"Ischemic stroke (summary)","link":"/articles/ischaemic-stroke-summary?lang=us"},{"id":37793,"title":"Stroke protocol (MRI)","link":"/articles/stroke-protocol-mri?lang=us"},{"id":60236,"title":"Wernicke aphasia","link":"/articles/wernicke-aphasia?lang=us"},{"id":148498,"title":"Broca aphasia","link":"/articles/broca-aphasia?lang=us"}],"alsoUsedIn":[{"id":1345,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1345","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1345"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":156,"kind":"LiveSchedule","title":"156","link":"https://radiopaedia.org/admin/live_schedules/156"},{"id":1266,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1266","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1266"},{"id":1266,"kind":"Course","title":"Neuroradiology Lectures - page 1266","link":"https://radiopaedia.org/courses/neuroradiology-lectures/pages/1266"},{"id":1266,"kind":"Course","title":"New test course - page 1266","link":"https://radiopaedia.org/courses/new-test-course/pages/1266"}],"stem":"\u003cp\u003eA patient presents with isolated Broca\u0026nbsp;aphasia. What vessel is likely to be occluded?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2415"}],"attemptsPercentages":[{"alternativeId":"11886","percentage":16},{"alternativeId":"11884","percentage":10},{"alternativeId":"11885","percentage":63},{"alternativeId":"11883","percentage":11}],"promptToLogin":false,"questionManager":false,"articleId":"ischemic-stroke"}