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May 1981

Persistent Primitive Trigeminal Artery and Ipsilateral Acquired Blepharoptosis

Author Affiliations

From the Department of Surgery, Division of Neurosurgery (Drs Tibbs and Walsh), and the Department of Ophthalmology (Dr Minix), University of Kentucky Medical Center, Lexington.

Arch Neurol. 1981;38(5):323-324. doi:10.1001/archneur.1981.00510050089022

This article describes a patient with an acquired unilateral blepharoptosis. The only demonstrable cause of the neurologic finding was the presence of a large ipsilateral persistent primitive trigeminal artery.

REPORT OF A CASE  A 20-year-old woman with a four-month history of a drooping left eyelid and intermittent left retrobulbar headache was examined. There were no other neurologic symptoms. There was no history of diabetes mellitus in her family and she had not been exposed to toxic substances.The patient was alert and fully oriented. Her memory, intelligence, and speech were normal. Visual acuity was normal bilaterally without correction. Visual fields were full. Funduscopy showed normal optic discs with normal spontaneous venous pulsations. The pupils were equal in size with normal reaction to light and accommodation. Ptosis of the left upper eyelid with 3- to 4-mm depression of the lid margin was present. The lower lid was in normal position.Roentgenograms of

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