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Raeder syndrome: MR appearance.

M Castillo1, L Kramer

  • 1Department of Radiology, University of Texas Medical School, Houston 77030.

AJNR. American Journal of Neuroradiology
|July 1, 1992
PubMed
Summary
This summary is machine-generated.

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Raeder syndrome, a rare neurological condition, was diagnosed in a woman due to left internal carotid artery stenosis. Imaging revealed significant narrowing, implicating sympathetic plexus and cavernous sinus artery involvement.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Radiology

Background:

  • Raeder syndrome is a rare condition characterized by ipsilateral headache, ptosis, miosis, and anhidrosis.
  • Carotid artery abnormalities, particularly stenosis, are implicated in the pathophysiology of Raeder syndrome.

Observation:

  • A 40-year-old woman presented with clinical signs suggestive of Raeder syndrome.
  • Magnetic Resonance (MR) imaging indicated narrowing of the left cavernous carotid artery and failure to visualize the high cervical left internal carotid artery.
  • Cervical artery angiography confirmed cavernous carotid artery narrowing and revealed severe, irregular stenosis in the distal cervical internal carotid artery.

Findings:

  • The patient's Raeder syndrome is attributed to the involvement of the left sympathetic plexus and ipsilateral cavernous sinus arteries.

Related Experiment Videos

  • Significant stenosis of the internal carotid artery was identified as the likely underlying vascular cause.

    • Implications:

    • This case highlights the importance of vascular imaging in diagnosing Raeder syndrome.
    • Understanding the link between carotid artery stenosis and sympathetic pathway involvement can improve diagnostic and therapeutic strategies.
    • Further research into the vascular underpinnings of Raeder syndrome is warranted.