Vol. 6, Issue 1, Part A (2024)

The etiology of acute paraparesis/paraplegia is multiple, and they include spinal cord diseases, peripheral nerve conditions, and from intracerebral origin. In these latter cases, there are some reports that are secondary to aneurysm of the anterior cerebral artery, and clinically of acute non-ictal type. We report a patient with an aneurism in the anterior communicating artery, but of ictal-onset type, reversible within minutes, with findings of an asymptomatic left medial frontal parenchymal ischemic injury. At our opinion, this patient did have transient ischemic attack-like clinical manifestations, probably due to collateral circulation.