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Raeder's syndrome associated with internal carotid artery dilation and sinusitis
The Laryngoscope
|October 1, 1982
Summary
Raeder's syndrome, characterized by facial pain, ptosis, and miosis, often resolves spontaneously. This case highlights a potential link between sphenoid sinusitis and carotid artery dilation in paratrigeminal syndrome.
Area of Science:
- Neurology
- Ophthalmology
- Vascular Neurology
Background:
- Raeder's syndrome, or paratrigeminal syndrome, presents with ipsilateral ptosis, miosis, and facial pain, typically without facial sweating abnormalities.
- The condition is generally self-limited when isolated, with facial pain resolving but ptosis and miosis often persisting.
Observation:
- A case of Raeder's paratrigeminal syndrome is presented.
- The patient exhibited abnormal dilation of the subcavernous internal carotid artery, suspected to be secondary to adjacent sphenoid sinus inflammation.
Findings:
- Facial pain and the internal carotid artery dilation resolved in this patient.
- Persistent miosis and ptosis were noted, consistent with the typical long-term course of Raeder's syndrome.
Implications:
- This case suggests a potential association between sphenoid sinusitis and vascular abnormalities in Raeder's syndrome.
- Awareness of Raeder's syndrome is crucial for evaluating patients with facial pain or suspected Horner's syndrome due to its diagnostic and prognostic significance.