J Korean Neurosurg Soc.
1979 Sep;8(2):539-546.
Raeder's Paratrigeminal Syndrome
- Affiliations
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- 1Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
Abstract
- The authors report two cases of paratrigeminal syndrome. They were male and involved in the left side, and had no known hypertension. The syndrome was produced and encountered in patients who had undergone a percutaneous carotid angiography and surgery with ligation of common carotid artery for the treatment of carotidcavernous sinus fistula. The clinical manifestations were unilateral, intense, throbbing supraorbital and periorbital pain recurring regularly, accompanied by drooping of the eye lid and miosis with normal sweating on the same side as the pain. The cases were treated conservatively with diphenylhydantion and antimigraine preparations with apparent success. It is probable that the underlying pathology of the syndrome in these cases may be compression of the internal carotid sympathetic fibers due to swelling of the interal carotid arterial wall. The clinical features and courses were compatible with those of group 2 of Raeder's syndrome.
