Anterior choroidal artery (AChA) stroke triad:
1. Contralateral hemiplegia
2. Hemianesthesia
3. Homonymous hemianopia
Anterior choroidal artery is a branch of ICA and supplies multiple structures including posterior limb of internal capsule, VPL nucleus of thalamus, and lateral geniculate body
– Left AChA stroke similar to L MCA stroke except speech is preserved in L AChA stroke
TITF1 = benign hereditary chorea
Insomnia, worsening vision, difficulty walking, precocious puberty, inability to look up but pupils accommodate (Parinaud Syndrome) – think tumor of pineal gland (Pinealoma)