Foramen Lacerum Syndrome (Aneurysm of Internal Carotid Artery Syndrome)
General: Most commonly caused by congenital aneurysm involving the intradural portion of the carotid artery.
Ocular: Periorbital pain; ptosis; oculomotor paralysis with ptosis, diplopia, and internal ophthalmoplegia; cranial nerves IV and VI may be involved; homonymous hemianopia (occasionally); loss of pupillary reflexes for light and accommodation; papilledema; optic atrophy.
Clinical: Meningism; mental disturbances; unilateral frontal or orbital headache; migraine attacks.
Dailey EJ, et al. Evaluation of ocular signs and symptoms in cerebral aneurysms. Arch Ophthalmol 1964; 71:463.
Geeraets WJ. Ocular Syndromes. 3rd ed. Philadelphia: Lea & Febiger, 1976.
Misra M, et al. Giant aneurysm of internal carotid artery presenting features of retrobulbar neuritis. Ind J Ophthalmol 1992; 39:28-29.
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