Classic Raymond Syndrome

J Coll Physicians Surg Pak. 2017 Mar;27(3):185-186.

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 types

  • Case Reports

MeSH terms

  • Abducens Nerve Diseases / etiology*
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use
  • Brain
  • Cerebral Infarction / diagnostic imaging*
  • Cerebral Infarction / drug therapy
  • Facial Paralysis / etiology*
  • Hemiplegia / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Paresis / etiology*
  • Pons / diagnostic imaging*
  • Treatment Outcome

Substances

  • Anticoagulants