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Optico-cerebral syndrome

Simultaneous hemodynamic infarction of optic nerve and brain

Departments of Neurology (Drs. Bogousslavsky and Regli) and Radiology (Dr. Uske), Centre Hospitalier Universitaire Vaudois, and Ophthalmologic Hospital (Dr. Zografos), Lausanne, Switzerland.

Three (0.5%) of 612 patients with an acute ischemic stroke in the carotid territory also had ipsilateral optic nerve infarction. They had unilateral or bilateral internal carotid artery occlusion and reversed flow in the ophthalmic artery. Hernodynamic infarction was suggested by triggering by a drop in blood pressure, decreased ophthalmic artery flow and perfusion pressure, and cerebral infarction in a watershed area. The "optico-cerebral syndrome" suggests internal carotid artery occlusion with hernodynamic disturbances. In carotid disease, monocular blindness may be due to an optic nerve lesion sparing the retina.

Address correspondence and reprint requests to Dr. Bogousslavsky. Department of Neurology, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland.

Received January 28, 1986. Accepted for publication May 20, 1986.

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