Along with other related syndromes such as millardgubler syndrome, fovilles syndrome, and webers syndrome, the description was instrumental in establishing important principles in brainstem localization. Foville syndrome is a rare inferior medial pontine syndrome first characterized in 1858 by anatomist and psychiatrist achille louis francois foville. Fovilles syndrome is caused by the blockage of the perforating branches of the basilar artery in the region of the brainstem known as the pons. Raymond syndrome alternating abducens hemiplegia a unilateral lesion of the ventral medial pons, which affects the ipsilateral abducens nerve fascicles and the corticospinal tract but spares cranial nerve vii. Structures affected by the infarct are the pprf, nuclei of cranial nerves vi and vii, corticospinal tract, medial lemniscus, and the medial longitudinal fasciculus. After secondary studies in toulouse, he studied medicine in. Ipsiplateral lateral rectus paresis, due to cranial nerve vi involvement. Request pdf between wallenberg syndrome and hemimedullary lesion. Raymondcestan syndrome in pontine ischemia, clinical. Raymondcestan syndrome in pontine ischemia request pdf. Raymond cestan syndrome is caused by blockage of the long circumferential branches of the basilar artery.
Scribd is the worlds largest social reading and publishing site. To validate this entity, we present a case of classic raymond syndrome with contralateral facial paresis. Cestans syndrome definition of cestans syndrome by the. 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. Raymondcestan syndrome in pontine ischemia article in clinical neurology and neurosurgery 1099. Cestan chenais and babinskinageotte syndromes in medullary infarctions in comparison with the lateral wallenberg, medial. Most frequently caused by vascular disease or tumors involving the dorsal pons. It was described by fulgence raymond and etienne jacques marie raymond cestan. Associa uma paralisia da visao lateral a uma sindrome cerebelosa homolateral e a uma hemiplegia contralateral com movimentos coreoatetosicos e perturbacoes da sensibilidade. A 50 yearold man experienced acute onset of horizontal. In his paper, notes on a littleknown paralysis of eye muscles, and its relation to the anatomy and physiology of the pons, foville posed a question.
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