Meticulous blood pressure control is mandatory for symptomatic primitive trigeminal artery

One 57-year-old lady with uncontrolled hypertension and right-side pupil-sparing oculomotor palsy visited our emergency department. Computed tomographic angiography revealed right-side persistent primitive trigeminal artery. Her symptoms dramatically improved after her blood pressure went under cont...

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Bibliographic Details
Published in:The American journal of emergency medicine 2009-06, Vol.27 (5), p.634.e5-634.e7
Main Authors: Lee, Meng-Rui, MD, Chuang, Yu-Ming, MD, Chen, Wen-Jone, MD, PhD, Lin, Ching-Po, PhD
Format: Article
Language:English
Subjects:
Antihypertensive Agents - therapeutic use
Basilar Artery - abnormalities
Blood pressure
Computed tomography
Emergency
Emergency medical care
Female
Humans
Hypertension
Hypertension - diagnosis
Hypertension - drug therapy
Hypertension - etiology
Ischemia
Labetalol - therapeutic use
Medical imaging
Middle Aged
Ophthalmoplegia - diagnosis
Ophthalmoplegia - etiology
Ophthalmoplegia - therapy
Tomography, X-Ray Computed
Veins & arteries
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Summary:One 57-year-old lady with uncontrolled hypertension and right-side pupil-sparing oculomotor palsy visited our emergency department. Computed tomographic angiography revealed right-side persistent primitive trigeminal artery. Her symptoms dramatically improved after her blood pressure went under control. To our knowledge, this is the first case report that describes the relation between blood pressure control and symptomatic improvement of oculomotor palsy due to primitive trigeminal artery. Diagnostic approach, image modalities, and treatment options for oculomotor palsy are also reviewed.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2008.09.034