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Related Experiment Videos

Raeder's paratrigeminal syndrome: a case report

M Murnane1, L Proano

  • 1Brown University School of Medicine, Department of Emergency Medicine, Rhode Island Hospital, Providence 02903, USA. pitpat@aol.com

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|September 1, 1996
PubMed
Summary

Raeder's paratrigeminal syndrome, a rare neurologic condition, presents with eye and facial nerve symptoms. Early diagnosis is crucial as it can indicate serious underlying issues like carotid artery dissection.

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Area of Science:

  • Neurology
  • Neuroscience
  • Ophthalmology

Background:

  • Raeder's paratrigeminal syndrome is a rare neurologic condition.
  • It is characterized by oculosympathetic paralysis, including ptosis and miosis.
  • It can be misdiagnosed as Horner's syndrome in the emergency department.

Observation:

  • A case report of a 62-year-old man presenting with symptoms of Raeder's syndrome.
  • The patient exhibited trigeminal nerve irritation and preserved facial sweating.
  • Magnetic Resonance Imaging (MRI) with angiography identified a carotid artery dissection.

Findings:

  • Carotid artery dissection was the underlying cause in this patient.
  • Raeder's syndrome is associated with various conditions including head trauma, hypertension, vasculitis, migraines, and parasellar lesions.

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  • Treatment depends on identifying and managing the specific underlying etiology.

    • Implications:

    • Accurate diagnosis of Raeder's syndrome is vital for identifying potentially life-threatening conditions.
    • Prompt recognition can lead to timely intervention, such as anticoagulation for carotid artery dissection.
    • Understanding the differential diagnosis, including Horner's syndrome, is essential for effective patient management.