Which symptom is NOT commonly associated with an ACA stroke?

A stroke occurring in the anterior cerebral artery (ACA) territory primarily impacts the medial aspects of the frontal and parietal lobes. This part of the brain is associated with a variety of functions, including motor control and sensory perception, as well as higher cognitive functions.

The symptoms commonly linked with ACA strokes include incontinence, hemiparesis (particularly affecting the lower limbs), and certain types of aphasia. Incontinence can occur due to the involvement of the frontal lobe areas that regulate urination. Hemiparesis is often seen because of the motor pathways being impacted in the ACA region, particularly affecting the lower body. Quiz-oriented aphasia can occur if the areas responsible for speech production and comprehension in the other cerebral hemisphere are affected.

Visual agnosia, however, is more closely associated with strokes affecting the posterior cerebral artery (PCA). This stroke affects areas of the brain responsible for visual perception and interpretation, leading to difficulties recognizing familiar objects, faces, or scenes. Thus, while symptoms of incontinence, hemiparesis, and quiz-oriented aphasia are directly related to ACA strokes, visual agnosia is not typically seen in this scenario, making it an unlikely symptom in an ACA stroke context.