Pimentel J, Martins I P
Department of Neurology, Hospital de Santa Maria, Lisbon, Portugal.
Cephalalgia. 1993 Apr;13(2):135. doi: 10.1046/j.1468-2982.1993.1302135.x.
We describe a patient with a Raeder's paratrigeminal neuralgia consisting of left-sided frontal and orbital pain, Horner syndrome (including anhydrosis of the forehead), and sensory loss in the territory of the first division of the trigeminal nerve. The involvement of the ophthalmic nerve is not consistent with the usual localization of this syndrome to the pericarotid sympathetic plexus. Oculosympathetic and sympathetic fibers supplying the sweat glands of the forehead join the ophthalmic nerve in the cavernous plexus localized in the cavernous sinus. Therefore, this seems to be the most likely site of the lesion when the ophthalmic nerve is involved.
我们描述了一名患有雷德尔副三叉神经痛的患者，其症状包括左侧额部和眶部疼痛、霍纳综合征（包括前额无汗）以及三叉神经第一支分布区域的感觉丧失。眼神经受累与该综合征通常定位于颈动脉周围交感神经丛的情况不一致。供应前额汗腺的眼交感神经和交感纤维在位于海绵窦的海绵丛中与眼神经相连。因此，当眼神经受累时，这似乎是最可能的病变部位。
