Ischemic strokes in the territories of the anterior cerebral arteries are rare and account for 0.5 to 3.0% of all ischemic strokes1. The recurrent artery of Heubner and medial striate arteries arise near the origin of the anterior communicating artery and supply the anteromedial portion of the caudate nucleus as well as the anterior limb of the internal capsule. The caudate nucleus receives an overlapping blood supply from the lateral lenticulostriate arteries (middle cerebral artery), anterior lenticulostriate arteries (anterior cerebral artery), and recurrent artery of Heubner (anterior cerebral artery)2.

Ischemic strokes in the territories of the anterior cerebral arteries are rare and account for 0.5 to 3.0% of all ischemic strokes1. The recurrent artery of Heubner and medial striate arteries arise near the origin of the anterior communicating artery and supply the anteromedial portion of the caudate nucleus as well as the anterior limb of the internal capsule. The caudate nucleus receives an overlapping blood supply from the lateral lenticulostriate arteries (middle cerebral artery), anterior lenticulostriate arteries (anterior cerebral artery), and recurrent artery of Heubner (anterior cerebral artery)2.