Raeder's syndrome after embolization of a giant intracavernous carotid artery aneurysm: pathophysiological considerations.
We present the case of a 47 years old woman submitted to an endovascular trapping of a left cavernous internal carotid artery aneurysm, in which the distal balloon was inflated, as usually done, within the cavernous segment of the internal carotid artery, different from the proximal one which was inflated inside the carotid canal due to technical problems. Consequently, a clinical picture of Raeder's paratrigeminal neuralgia took place. This is the first case report in the literature with theses characteristics. A review of the anatomic pathways and further considerations about the possible pathophysiological mechanisms involved are presented.
Tatsui
Claudio Esteves
CE
Department of Neurosurgery, Hospital Nossa Senhora das Graças, Curitiba, PR, Brazil.
Prevedello
Daniel Monte-Serrat
DM
Koerbel
Andrei
A
Cordeiro
Joacir Graciolli
JG
Ditzel
Leo Fernando da Silva
LF
Araujo
Joao Candido
JC
D021721:Balloon Occlusion / Q000009:adverse effects*; D001763:Blepharoptosis / Q000209:etiology* / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015877:Miosis / Q000209:etiology* / Q000503:physiopathology; D013577:Syndrome; D014277:Trigeminal Neuralgia / Q000209:etiology* / Q000503:physiopathology