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Raeder paratrigeminal syndrome (painful Horner syndrome with trigeminal nerve involvement) is a poorly recognized complication of multiple disorders including carotid aneurysm, cancer, herpes zoster, maxillary sinusitis, and chronic otitis media. Although brain MRI has revealed carotid artery narrowing,1 dissection,2,3 and aneurysm,4 Raeder syndrome produced by inflammatory disease surrounding the carotid artery has not been verified by brain imaging until now.
Case reports.
A 51-year-old man noted a sensation of right ear fullness and vertigo; neurologic examination and brain MRI scan (figure, A) was normal. Three months later, he developed right-sided otitis media, right facial numbness, stabbing headaches, and intermittent drooping of the right eyelid. Examination revealed a partial Horner syndrome (right-sided ptosis and miosis without anhidrosis) and …
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