title: Oculo-pyramidal crossed syndrome heralded by seizure: a case report.
abstract: Ischemic oculo-pyramidal crossed syndrome, i.e. amaurosis fugax contralateral to hemiparesis, is caused by an embolus from internal carotid artery occluding the retinal or the ophthalmic artery as well as the middle cerebral artery. We report on a patient with an oculopyramidal crossed syndrome due to internal carotid artery dissection and clinically manifesting with amaurosis fugax and seizure. Ischemic lesions can present with symptomatic seizures and, conversely, seizures may precede ischemic strokes, thus being a warning sign of a cerebrovascular event.
authors.affiliation: Dipartimento di Scienze Neurologiche, Neuropsicologiche, Morfologiche e Motorie, Università di Verona, Verona, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Brigo
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Tomelleri
authors.forename: Tiziano
authors.initials: T
authors.lastname: Zanoni
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Maccarrone
authors.forename: Paolo
authors.initials: P
authors.lastname: Bovi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Moretto
mesh_terms: D020757:Amaurosis Fugax / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000209:etiology*