Khan Majid, Naveed Sadaf, Haider Iqbal, Humayun Mohammad, Khan Abidullah
Department of Medicine, Khyber Teaching Hospital, Peshawar.
Department of Radiology, Khyber Teaching Hospital, Peshawar.
J Coll Physicians Surg Pak. 2017 Mar;27(3):185-186.
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.
典型的雷蒙德综合征表现为同侧展神经麻痹，伴有对侧偏瘫和面神经麻痹。一名60岁男性患者出现左侧口角歪斜和右侧肢体无力。检查发现他左侧展神经麻痹，伴有对侧中枢性面瘫和轻瘫。脑部MRI证实左侧脑桥梗死。这些发现与典型的雷蒙德综合征相符。迄今为止，全球仅报道了少数病例，这是南亚地区报道的首例。该病例证实，典型的雷蒙德综合征与常见类型的雷蒙德综合征不同，后者的皮质面纤维得以保留。
