[A case presenting with Raeder's syndrome-like symptoms due to vertebral artery aneurysm].
A 50-year-old man complained of headache around his left orbit, left frontal pain and paresthesia associated with left incomplete Horner syndrome. MRI demonstrated a mass at the level of medulla oblongata. Left vertebral angiogram revealed an aneurysm of left vertebral artery. Following the removal of the aneurysm, these Raeder's syndrome-like symptoms improved. Therefore, they were probably caused by a compression of the spinal tract of the trigeminal nerve and the central sympathetic tract by the aneurysm. This is the first report of Reader's syndrome-like symptoms caused by vertebral artery aneurysm, thus indicating that MRI and cerebral angiogram are necessary for differential diagnosis of this syndrome.
Omoto
M
M
Department of Neurology, Ube Industry Central Hospital.
Fukusako
T
T
Ikuta
N
N
Ogasawara
J
J
Kawai
M
M
Negoro
K
K
Morimatsu
M
M
D000783:Aneurysm / Q000150:complications*; D003937:Diagnosis, Differential; D006732:Horner Syndrome / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013577:Syndrome; D020433:Trigeminal Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D014711:Vertebral Artery