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A Case of Classic Raymond Syndrome
Joint Authors
Zaorsky, Nicholas George
Luo, Jin Jun
Source
Case Reports in Neurological Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Classic Raymond syndrome consists of ipsilateral abducens impairment, contralateral central facial paresis, and contralateral hemiparesis.
However, subsequent clinical observations argued on the presentation of facial involvement.
To validate this entity, we present a case of classic Raymond syndrome with contralateral facial paresis.
A 50 year-old man experienced acute onset of horizontal diplopia, left mouth drooling and left-sided weakness.
Neurological examination showed he had right abducens nerve palsy, left-sided paresis of the lower part of the face and limbs, and left hyperreflexia.
A brain MRI showed a subacute infarct in the right mid-pons.
The findings were consistent with those of classic Raymond syndrome.
To date, only a few cases of Raymond syndrome, commonly without facial involvement, have been reported.
Our case is a validation of classic Raymond syndrome with contralateral facial paresis.
We propose the concept of two types of Raymond syndrome: (1) the classic type, which may be produced by a lesion in the mid-pons involving the ipsilateral abducens fascicle and undecussated corticofacial and corticospinal fibers; and (2) the common type, which may be produced by a lesion involving the ipsilateral abducens fascicle and undecussated corticospinal fibers but sparing the corticofacial fibers.
American Psychological Association (APA)
Zaorsky, Nicholas George& Luo, Jin Jun. 2012. A Case of Classic Raymond Syndrome. Case Reports in Neurological Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-482651
Modern Language Association (MLA)
Zaorsky, Nicholas George& Luo, Jin Jun. A Case of Classic Raymond Syndrome. Case Reports in Neurological Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-482651
American Medical Association (AMA)
Zaorsky, Nicholas George& Luo, Jin Jun. A Case of Classic Raymond Syndrome. Case Reports in Neurological Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-482651
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482651