Raymond–Céstan syndrome explained

Synonym:	upper dorsal pontine syndrome,
Diagnosis:	Cect/ncct brain, mri brain

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]

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)

Further reading

• Kim. JS. Lee. JH. Im. JH. Lee. MC. Syndromes of pontine base infarction. A clinical-radiological correlation study.. Stroke: A Journal of Cerebral Circulation. Jun 1995 . 26. 6. 950–5. 10.1161/01.STR.26.6.950. 7762044.
• Krasnianski. M. Neudecker. S. Zierz. S. [Classical crossed pontine syndromes].. Fortschritte der Neurologie · Psychiatrie . Aug 2004 . 72. 8. 460–8. 15305240. German. 10.1055/s-2004-818392. 144167622.

Notes and References

1. http://www.clineu-journal.com/article/S0303-8467(07)00181-3/abstract{{Dead link|date=July 2024|fix-attempted=yes}}
2. Web site: Céstan-Chenais syndrome . 2014-07-20 . 2014-07-27 . https://web.archive.org/web/20140727091407/http://www.whonamedit.com/synd.cfm/618.html . live .
3. Silverman . Isaac E. . The Crossed Paralyses: The Original Brain-Stem Syndromes of Millard-Gubler, Foville, Weber, and Raymond-Cestan . Archives of Neurology . 52 . 6 . 1995-06-01 . 0003-9942 . 10.1001/archneur.1995.00540300117021 . 635. 7763214 .