Raymond–Céstan syndrome
Medical condition
From Wikipedia, the free encyclopedia
Raymond–Céstan syndrome is caused by blockage of the long circumferential branches of the basilar artery.[1] It was described by Fulgence Raymond and Étienne Jacques Marie Raymond Céstan.[2] Along with other related syndromes such as Millard–Gubler syndrome, Foville's syndrome, and Weber's syndrome, the description was instrumental in establishing important principles in brain-stem localization.[3]
Other namesupper dorsal pontine syndrome,
Diagnostic methodCect/ncct brain, mri brain
| Raymond–Céstan syndrome | |
|---|---|
| Other names | upper dorsal pontine syndrome, |
| |
| Basillar artery runs down the middle(in above image) and blockage is cause of this condition. Diagram of the arterial circulation at the base of the brain (inferior view). | |
| Diagnostic method | Cect/ncct brain, mri brain |
Presentation
- Ipsilateral ataxia and coarse intention tremor (damage to superior and middle cerebellar peduncle)
- Ipsilateral paralysis of muscles of mastication and sensory loss in face (damage to sensory and motor nuclei and tracts of CN V)
- Contralateral loss of sensory modalities in the body (damage to spinothalamic tract and medial lemniscus)
- Contralateral hemiparesis of face and body (damage to corticospinal tract) may occur with ventral extension of lesion
- Horizontal gaze palsy may occur (as in lower dorsal pontine syndrome)