DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.007

Pages: 46-49

This case report highlights the neuro-ophthalmological complications, associated with internal carotid artery occlusion, particularly optic-pyramidal syndrome. We present the case of a 73-year-old female patient with a history of hypertension, admitted for right-sided hemiparesis and decreased visual acuity in the left eye, accompanied by ptosis. Imaging revealed a left fronto temporal ischemic stroke with occlusion of the internal carotid artery. We draw practitioners' attention to the potential occurrence of ophthalmoplegia in cases of optic-pyramidal syndrome. A carotid occlusion with inadequate collateral circulation from the vertebrobasilar system could explain the symptomatology, which may be transient or, in rare cases, permanent.