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Unilateral internuclear ophthalmoplegia due to angiographic embolism through a primitive trigeminal artery

From the Division of Neurological Surgery (Drs. Cahill and Salcman), Department of Ophthalmology (Dr. Hirsch), and Department of Radiology (Neuroradiology) (Dr. Rao), University of Maryland Hospital, Baltimore, MD.

A 27-year-old patient with a prolactinoma represents the first reported case of an isolated unilateral internuclear ophthalmoplegia secondary to embolism, and also appears to be the second reported case of embolism via a persistent primitive trigeminal artery. It is also the first incidence of this disorder as an angiographic complication.

Address correspondence and reprint requests to Dr. Salcman, Division of Neurological Surgery, University of Mayland Hospital, 22 South Greene Street, Baltimore, MD 21201.

Accepted for publication September 3, 1980.