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Classic Raymond Syndrome.

Author(s)
Majid Khan Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Sadaf Naveed Department of Radiology, Khyber Teaching Hospital, Peshawar, Pakistan
Iqbal Haider Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Mohammad Humayun Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Abidullah Khan Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
Abstract
Classic Raymond syndrome presents with abducens nerve palsy on the ipsilateral side with contralateral hemiparesis and facial nerve paralysis. A 60-year gentleman presented with deviation of left angle of mouth and right sided weakness. Examination showed that he had left sided abducens nerve palsy, with contralateral central facial paralysis and paresis. MRI of brain confirmed left pontine infarct. These findings were consistent with classic Raymond syndrome. Till now, only a few cases have been reported worldwide, this being the first case reported in South Asia. This case confirms that classic Raymond syndrome is different from the common type of Raymond syndrome in terms of sparing of coritcofacial fibers in the latter type.
Publication Details
Page(s) 185-186
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 27, Issue: 3, Year: 2017

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Keywords
Abducens nerve. Contralateral facial paralysis. Pontine infarct
References
RaymondF.,Concerning, 1894.a special type of alternating hemiplegia,In Lecons Sur Les Maladies Nerve Uses 365 -83
KupersHGJM, 1958.Corticobulbar onnections to the pons and the lower brain stem in man: An anatomical study,Brain 81 364 -88
ZaorskyNG,LuoJJ, 2012.A case of classic Raymond syndrome,Case Rep Neurol Med 58312 -
WolfeJK, 1936.Raymond's syndrome in the classical brain stem syndromes. Translations of the original papers with notes on the evolution of clinical neuroanatomy,CC Thomas Springfield 139 -41
OgawaK,TougouM,OishiM,KameiS,MizutaniT., 2008.A case of pontine infarction causing alternating hemiplegia with ipsilateral abducens nerve palsy and contralateral supranuclear facial nerve palsy,Clin Neurol 48 135 -8
OgawaK,SuzukiY,Kamei S, 2010.Two patients with abducens nerve palsy and crossed hemiplegia (Raymond syndrome),Acta Neurologica Belgica 110 270 -1
MarxJJ,ThomkeF, 2009.Classical crossed brain stem syndromes: myth or reality?,J Neurol 6 898 -903
DonaldsonD,RosenbergNL, 1988.Infarction of abducens nerve fascicle as cause of isolated sixth nerve palsy related to hypertension,Neurology 38 1654 -
ShethRD,RiggsJE,OrtizOA, 1996.Raymond syndrome: A validation,Eur Neurol 36 173 -217
SatakeM,KiraJI,YamadaT,KobayashiT., 1995.Raymond syndrome (alternating abducent hemiplegia) caused by a small haematoma at the medial pontomedullary junction,J Neurol Neurosurg Psychiatry 58 261 -
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