Document Detail

Meticulous blood pressure control is mandatory for symptomatic primitive trigeminal artery.
MedLine Citation:
PMID:  19497491     Owner:  NLM     Status:  MEDLINE    
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.
Meng-Rui Lee; Yu-Ming Chuang; Wen-Jone Chen; Ching-Po Lin
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-05     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  634.e5-7     Citation Subset:  IM    
Department of Internal Medicine, Tao-Yuan General Hospital, Taiwan, Republic of China.
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MeSH Terms
Antihypertensive Agents / therapeutic use*
Basilar Artery / abnormalities*
Hypertension / diagnosis,  drug therapy*,  etiology
Labetalol / therapeutic use*
Middle Aged
Ophthalmoplegia / diagnosis,  etiology*,  therapy
Tomography, X-Ray Computed
Reg. No./Substance:
0/Antihypertensive Agents; 36894-69-6/Labetalol

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