The sign of the cross

Aryan Pashaei-Marandi; Ashwini Kini; Bayan Al Othman; Andrew G Lee; Julie Falardeau

doi:10.1016/j.survophthal.2019.05.002

The sign of the cross

Surv Ophthalmol. 2021 Jan-Feb;66(1):145-148. doi: 10.1016/j.survophthal.2019.05.002. Epub 2019 May 24.

Authors

Aryan Pashaei-Marandi¹, Ashwini Kini², Bayan Al Othman², Andrew G Lee³, Julie Falardeau⁴

Affiliations

¹ University of Texas Medical Branch at Galveston, Galveston, Texas, USA.
² Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA.
³ Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York, New York, USA. Electronic address: aglee@houstonmethodist.org.
⁴ Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA.

PMID: 31129261
DOI: 10.1016/j.survophthal.2019.05.002

Abstract

Acute, painful, transient, right-sided, monocular visual loss lasting 4 hours developed in a 46-year-old man. This was followed by headache and left-sided transient hemiparesis. The association of ipsilateral transient vision loss with transient contralateral hemiparesis implicates involvement of the ipsilateral internal carotid artery (i.e., a crossed symptom).

Keywords: amaurosis fugax; cross sign; hemiparesis; internal carotid dissection; vision loss.

Publication types

Case Reports

MeSH terms

Carotid Artery, Internal*
Headache*
Humans
Male
Middle Aged