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Two patients with abducens nerve palsy and crossed hemiplegia (Raymond syndrome).

Abstract
We report 2 patients of alternating hemiplegia with abducens nerve palsy. One patient was also complicated by contralateral supranuclear facial nerve palsy. MRI showed an infarct involving the paramedian and lateral area of the pontine basis in both patients. We considered that corticospinal tract and infraabducens nerve fibers were involved in both patients, and that the corticobulbar tract was involved in 1 patient with supranuclear facial nerve palsy. Although supranuclear facial nerve palsy was not found in the other patient, we speculated that supranucler facial nerve fibers might pass mainly through the aberrant pyramidal tract in this patient.
AuthorsKatsuhiko Ogawa, Yutaka Suzuki, Satoshi Kamei
JournalActa neurologica Belgica (Acta Neurol Belg) Vol. 110 Issue 3 Pg. 270-1 (Sep 2010) ISSN: 0300-9009 [Print] Italy
PMID21114137 (Publication Type: Case Reports, Journal Article)
Topics
  • Abducens Nerve Diseases (complications, pathology)
  • Aged
  • Facial Nerve Diseases (complications, pathology)
  • Hemiplegia (complications, pathology)
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Pyramidal Tracts (pathology)

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