Open Access

Dolichoectasia of the cavernous internal carotid artery: another cause for Raeder's syndrome

  • Germán Morís,
  • Reneé Ribacoba,
  • Dulce Nombre Solar and
  • José Antonio Vidal
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches1:00010123.10194

DOI: 10.1007/s101940070053

Abstract

A 38-year-old man presented with ptosis, miosis, facial pain and hypoesthesia in the ipsilateral ophthalmic division of the trigeminal nerve. Brain magnetic resonance imaging and magnetic resonance antiography showed fusiform dilation of the cavernous portion of the left carotid artery. A diagnosis of Raeder's syndrome (RS) was made. Carbamazepine selectively relieved the facial pain but the partial Horner syndrome persisted. Our case adds dolichoectasia of the intracavernous internal carotid artery to the list of causes of RS.

Key words Raeder's syndrome Dolichoectasia Cavernous sinuses Internal carotid artery