Reversible ophthalmoplegia associated with ipsilateral persistent primitive trigeminal artery: A case report

Ya Ju Lin, Helen L. Po, Sho Jen Cheng, I. Hung Hsueh

研究成果: 雜誌貢獻文章同行評審

摘要

Persistent primitive trigeminal artery (PPTA) is a rare congenital carotido-basilar anastomosis which may be associated with several different cranial nerve deficits and intracranial vascular insults. We presented a 79-year-old hypertensive male patient of acute unilateral ophthalmoplegia but without abnormal pupillary light reflex, headache, or facial pain. Magnetic resonance imaging (MRI) showed "extra" flow void channel along a tortuous and dilated cavernous portion of left internal carotid artery (ICA). Cerebral angiography confirmed the presence of an ipsilateral elongated and tortuous persistent primitive trigeminal artery with a posterolateral course. His symptoms remitted spontaneously in 2 months with only better control of hypertension but no other specific treatment. Possible pathogenesis, treatment and further non-invasive diagnostic procedures are discussed.
原文英語
頁(從 - 到)97-102
頁數6
期刊Acta Neurologica Taiwanica
11
發行號2
出版狀態已發佈 - 七月 2 2002

ASJC Scopus subject areas

  • 神經內科
  • 神經病學(臨床)

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