eMedicine Specialties > Neurology > Headache and Pain
Raeder Paratrigeminal Syndrome: Differential Diagnoses & Workup
Updated: Sep 11, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Other Problems to Be Considered
Brainstem syndromes
Granulomatous angiitis of the central nervous system
Carotid disease and stroke
Workup
Laboratory Studies
- While most cases of Raeder paratrigeminal syndrome are benign, a thorough evaluation to exclude secondary causes may be warranted, particularly if parasellar nerve involvement is evident.
- Basic laboratory analysis to evaluate for inflammatory or infectious etiologies also may be warranted.
- A basic chemistry profile, CBC count, erythrocyte sedimentation rate, antinuclear antibody, and rheumatoid factor may be helpful in screening for inflammatory or infectious causes.
Imaging Studies
- The neurodiagnostic evaluation should include magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain. These studies help to exclude secondary causes such as dissection, vascular anomaly, or aneurysm.
- Cerebral arteriography may be considered if clinically indicated or if MRA findings warrant further evaluation.
More on Raeder Paratrigeminal Syndrome |
| Overview: Raeder Paratrigeminal Syndrome |
Differential Diagnoses & Workup: Raeder Paratrigeminal Syndrome |
| Treatment & Medication: Raeder Paratrigeminal Syndrome |
| Follow-up: Raeder Paratrigeminal Syndrome |
| Multimedia: Raeder Paratrigeminal Syndrome |
| References |
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References
Goadsby PJ. Raeder's syndrome [corrected]: paratrigeminal paralysis of the oculopupillary sympathetic system. J Neurol Neurosurg Psychiatry. Mar 2002;72(3):297-9. [Medline].
Murnane M, Proano L. Raeder's paratrigeminal syndrome: a case report. Acad Emerg Med. Sep 1996;3(9):864-7. [Medline].
Nolph MB, Dion MW. Raeder's syndrome associated with internal carotid artery dilation and sinusitis. Laryngoscope. Oct 1982;92(10 Pt 1):1144-8. [Medline].
BONIUK M, SCHLEZINGER NS. Raeder's paratrigeminal syndrome. Am J Ophthalmol. Dec 1962;54:1074-84. [Medline].
Law WR, Nelson ER. Internal carotid aneurysm as a cause of Raeder's paratrigeminal syndrome. Neurology. Jan 1968;18(1 Pt 1):43-6. [Medline].
Grimson BS, Thompson HS. Raeder's syndrome. A clinical review. Surv Ophthalmol. Jan-Feb 1980;24(4):199-210. [Medline].
Vijayan N, Watson C. Pericarotid syndrome. Headache. Nov 1978;18(5):244-54. [Medline].
Raeder JG. "Paratrigeminal" paralysis of oculo-pupillary sympathetic. Brain. 1924;47:149-158.
Selky AK, Pascuzzi R. Raeder's paratrigeminal syndrome due to spontaneous dissection of the cervical and petrous internal carotid artery. Headache. Jul-Aug 1995;35(7):432-4. [Medline].
Appen RE, Sturm RJ. Raeder's paratrigeminal syndrome. Ann Ophthalmol. Sep 1978;10(9):1181-7. [Medline].
Bajwa ZH, Ho CC. Causes of Facial Pain. UpToDate. Available at www.uptodate.com. Accessed 2004.
Solomon S. Raeder syndrome. Arch Neurol. Apr 2001;58(4):661-2. [Medline].
Further Reading
Keywords
Raeder's paratrigeminal syndrome, facial pain, oculosympathetic palsy, Raeder's syndrome, paratrigeminal neuralgia, unilateral face pain, Horner syndrome, ipsilateral oculosympathetic palsy, paratrigeminal oculosympathetic syndrome
Differential Diagnoses & Workup: Raeder Paratrigeminal Syndrome