{
  "abstract": "A male in his 40s presented for evaluation of acute onset of painless horizontal binocular diplopia with left-sided weakness. He had vascular risk factors in the form of type 2 diabetes mellitus, systemic hypertension, dyslipidaemia and smoking. Physical examination revealed right lateral rectus palsy, left-sided central facial palsy, left-sided hemiplegia with positive Babinski sign and intact sensation ( figure 1a and b). On performing right horizontal saccades, the left eye adducted whereas the right eye remained paretic, indicating intact paramedian pontine reticular formation on the right side. MRI of the brain showed right ventromedial caudal paramedian pontine acute infarct (figure 1c and d). CT angiogram of the head and neck vessels, transthoracic as well as transoesophageal echocardiogram was normal. A diagnosis of classic Raymond syndrome was made, with aetiology being cerebrovascular small vessel disease. He was started on acetylsalicylic acid (100mg one time a day), atorvastatin (40mg at night-time), antihypertensives and oral hypoglycaemic medications.",
  "authors": [
    {
      "affiliations": [
        "Neurology, Cleveland Clinic Abu Dhabi Neurological Institute, Abu Dhabi, Abu Dhabi, UAE"
      ],
      "name": "Praveen Kesav"
    },
    {
      "affiliations": [
        "Neurology, Cleveland Clinic Abu Dhabi Neurological Institute, Abu Dhabi, Abu Dhabi, UAE"
      ],
      "name": "Raj Nair"
    },
    {
      "affiliations": [
        "Neurology and Neurointerventional Surgery, Cleveland Clinic Abu Dhabi Neurological Institute, Abu Dhabi, Abu Dhabi, UAE"
      ],
      "name": "Seby John"
    },
    {
      "affiliations": [
        "Neurology and Neurointerventional Surgery, Cleveland Clinic Abu Dhabi Neurological Institute, Abu Dhabi, Abu Dhabi, UAE"
      ],
      "name": "Syed Irteza Hussain"
    }
  ],
  "title": "Classic Raymond syndrome",
  "uid": "2019740b-0054-5aed-85b4-65a41ce55218"
}