Raeder's syndrome associated with internal carotid artery dilation and sinusitis

Abstract

Raeder's syndrome consists of ipsilateral ptosis, miosis and facial pain with intact facial sweating. When not associated with other neurologic signs, the clinical course of this condition is self‐limited. Patients will have resolution of facial pain but persistence of miosis and ptosis. Treatment is symptomatic with arteriography reserved for those patients with protracted symptoms or atypical presentations. A case of Raedcr's paratrigeminal syndrome is presented with abnormal dilation of the subcavernous portion of the internal carotid artery thought to be secondary to inflammation of the adjacent sphenoid sinus. Facial pain and the abnormal dilation of the carotid artery resolved, but miosis and ptosis persisted. Because of the therapeutic indication and prognostic value, an awareness of Raeder's syndrome is stressed when evaluating patients with facial pain or possible Horner's syndrome.

Effectiveness of Surgical Management of Epistaxis at a Tertiary Care Center

“…The superiority of one surgical treatment versus another surgical treatment has yet to be demonstrated in either an observational study or a randomized clinical trial. Reported failure rates for arterial ligation ( 1, 2 ), endoscopic cautery ( 3‐5 ), and angiographic embolization ( 6‐9 ) each range from approximately 10 to 25%. The reported complication rates for arterial ligation and embolization are also very similar ( 1, 6, 7 ).…”

An overview of the management of pseudoaneurysm of the maxillary artery: A report of a case following mandibular subcondylar osteotomy

“…These include precise localization and selective occlusion of the fistula, sparing the surrounding vital structures and an absence of scars or haemorrhage. It is also repeatable (Hicks and Vitek, 1989). If a bleeding point or a pseudoaneurysm is visualized using angiography, selective occlusion of the supplying vessel can then be performed (Lanigan and West, 1984).…”

“…Other risk factors include transient local numbness, facial pain, fever, oedema and rarely temporary facial nerve damage (Lanigan and West, 1984). Embolization is usually associated with local tissue infarction (Hicks and Vitek, 1989).…”

BALLOON COMPRESSION OF THE INTRAMAXILLARY SINUS FOR INTRACTABLE POST-TRAUMATIC BLEEDING FROM THE MAXILLARY ARTERY: Case report

“…Although packing is a relatively easy procedure in expert hands, its efficacy is questionable with reported failure rates ranging from 26%-52% and a morbidity ranging from 2%-69% (6,9,13). Complications include local palatal oedema, alar necrosis, aspiration, hypoxia, and even death (3,5,7,10,11). Intrabony bleeding vessels are usually controlled by reduction and stabilisation of the fractures.…”