title: Meticulous blood pressure control is mandatory for symptomatic primitive trigeminal artery.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Tao-Yuan General Hospital, Taiwan, Republic of China.
authors.forename: Meng-Rui
authors.initials: MR
authors.lastname: Lee
authors.forename: Yu-Ming
authors.initials: YM
authors.lastname: Chuang
authors.forename: Wen-Jone
authors.initials: WJ
authors.lastname: Chen
authors.forename: Ching-Po
authors.initials: CP
authors.lastname: Lin
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001488:Basilar Artery / Q000002:abnormalities*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D007741:Labetalol / Q000627:therapeutic use*; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000959:Antihypertensive Agents; D007741:Labetalol