Craniofacial pain and incomplete oculomotor palsy associated with ipsilateral primitive trigeminal artery. Case report.
A case is reported of persistent primitive trigeminal artery associated with recurrent facial pain and noncomitant strabismus by partial ipsilateral oculomotor palsy. Transcranial Doppler disclosed indirectly persistent carotid-basilar anastomosis. CT and angiography allowed complete diagnosis excluding a posterior communicating artery aneurysm, a Tolosa-Hunt syndrome and an ophthalmoplegic migraine. Steroid therapy is recommended treatment. Surgery should be considered when symptoms are intractable to medical therapy.
Zingale
A
A
Institute of Neurosurgery, Catania University, Italy.
Chiaramonte
I
I
Mancuso
P
P
Consoli
V
V
Albanese
V
V
D000328:Adult; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging; D001488:Basilar Artery / Q000002:abnormalities; D002343:Carotid Artery, Internal / Q000002:abnormalities; D002536:Cerebral Arteries / Q000002:abnormalities*; D003937:Diagnosis, Differential; D005157:Facial Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D015840:Oculomotor Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014653:Vascular Headaches / Q000000981:diagnostic imaging / Q000209:etiology*