Partial anterior circulation infarct (PACI) is a type of cerebral infarction affecting part of the anterior circulation supplying one side of the brain. Partial anterior circulation infarct (PACI) is a type of cerebral infarction affecting part of the anterior circulation supplying one side of the brain. Partial anterior circulation stroke syndrome (PACS) refers to the symptoms of a patient who clinically appears to have suffered from a partial anterior circulation infarct, but who has not yet had any diagnostic imaging (e.g. CT Scan) to confirm the diagnosis.