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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282XOn-line version ISSN 1678-4227

Abstract

TATSUI, Claudio Esteves et al. Raeder's syndrome after embolization of a giant intracavernous carotid artery aneurysm: pathophysiological considerations. Arq. Neuro-Psiquiatr. [online]. 2005, vol.63, n.3a, pp.676-680. ISSN 0004-282X.  http://dx.doi.org/10.1590/S0004-282X2005000400024.

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.

Keywords : Raeder's paratrigeminal neuralgia; headache; cephalalgia; neuroendovascular procedures.

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