This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Stroke and TIA, Subject name: Medicine
Thrombosis of Anterior cerebral Aery, distal to the communicating branch leads to: 
Select and explain. 
A. Contralateral Hemiparesis, B. Ipsilateral hemiparesis, C. Incontinence, D. Seizures
C: Incontinence
Answer: C: Incontinence 
Explanation: *Proximal ACA occlusion is usually well tolerated because of collateral flow through the anterior communicating aery and collaterals through the MCA and PCA. * Distal ACA occlusion can lead to Profound abulia (a delay in verbal and motor response) Bilateral pyramidal signs Paraparesis or quadriparesis Urinary incontinence.