Treatment
Approach Considerations
Unless intracranial pathology exists, treatment of Raeder paratrigeminal syndrome remains predominantly symptomatic. Avoidance of vasodilators and alcohol is recommended due to the potential for exacerbation of pain.
When parasellar involvement is absent, steroids (either oral or intravenous) may be beneficial. Nolph and Dion also have suggested analgesics, ergotamines, and vitamin B therapy. [17]
Surgical treatment
Surgery is not indicated for most patients unless a secondary cause is found that justifies surgical intervention.
Media Gallery
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Cervical sympathetic pathway, including oculosympathetic fibers. A lesion at A would produce a complete Horner syndrome with ipsilateral loss of facial sweating; a lesion at B would produce oculosympathetic paresis, but with preserved facial sweating. Reprinted with permission (Hanley and Belfus, Inc. Academic Emergency Medicine 1996; 3(9); 864-867.)
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Evident in this patient are the mild ptosis of the left upper eyelid, the slight elevation of the left lower eyelid, and the miosis of the left eye. Reprinted with permission (Copyright American Society of Contemporary Ophthalmology. Annals of Ophthalmology 1978; 10(9); 1181-1187.)
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