RAEDERS SYNDROME - A CASE WITH AN UNUSUAL LOCALIZATION

We describe a patient with a Raeder's paratrigeminal neuralgia consist ing of left-sided frontal and orbital pain, Homer syndrome (including anhydrosis of the forehead), and sensory loss in the territory of the first division of the trigeminal nerve. The involvement of the ophthal mic nerve is not consistent with the usual localization of this syndro me to the pericarotid sympathetic plexus. Ocutosympathetic and sympath etic fibers supplying the sweat glands of the forehead join the ophtha lmic nerve in the cavernous plexus localized in the cavernous sinus. T herefore, this seems to be the most likely site of the lesion when the ophthalmic nerve is involved.