Cestan-Chenais syndrome
Citation, DOI, disclosures and article data
At the time the article was created Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosuresAt the time the article was last revised Travis Fahrenhorst-Jones had no financial relationships to ineligible companies to disclose.
View Travis Fahrenhorst-Jones's current disclosuresCestan-Chenais syndrome is a rare brainstem stroke syndrome with features between that of the hemimedullary syndrome (Reinhold syndrome) and the lateral medullary syndrome (Wallenberg syndrome), but distinct to that of Babinski-Nageotte syndrome 1,2.
On this page:
Clinical presentation
Cestan-Chenais syndrome is considered an intermediolateral medullary syndrome, which includes most features of the lateral medullary syndrome except ipsilateral hemiataxia, but also having contralateral hemiparesis/hemiplegia 1,2.
Pathology
It is likely that the most common cause of Cestan-Chenais syndrome is a posterior circulation ischemic stroke 1.
Radiographic features
Lesions are in the medulla with imaging characteristics dependent on the underlying cause.
History and etymology
The syndrome was named after French physicians Étienne Jacques Marie Raymond Cestan (1872-1934) and Louis Jean Chenais (1872-1950) who described the entity in 1903 3.
References
- 1. Krasnianski M, Müller T, Stock K, Zierz S. Between Wallenberg Syndrome and Hemimedullary Lesion: Cestan-Chenais and Babinski-Nageotte Syndromes in Medullary Infarctions. J Neurol. 2006;253(11):1442-6. doi:10.1007/s00415-006-0231-3 - Pubmed
- 2. Kesav P, Hussain S, John S, Sajjad Z, Jacob A. Teaching Neuroimage: Reinhold's Hemimedullary Syndrome. Neurology. 2022;:10.1212/WNL.0000000000201686. doi:10.1212/wnl.0000000000201686 - Pubmed
- 3. Cestan R, Chenais L. Du myosis dans certaines lesions bulbaires en foyer. Gazette des hopitaux. 1903;76:1229–1233.
Incoming Links
Related articles: Stroke and intracranial haemorrhage
-
stroke and intracranial hemorrhage
- general articles
-
ischemic stroke
- general discussions
- scoring and classification systems
- Alberta stroke program early CT score (ASPECTS)
- ASCOD classification
- Canadian Neurological Scale
- Heidelberg bleeding classification
- NIH Stroke Scale
- Mathew stroke scale
- modified Rankin scale
- Orgogozo Stroke Scale
- Scandinavian Stroke Scale
- thrombolysis in cerebral infarction (TICI) scale
- TOAST classification
- collateral vessel scores
- signs
- by region
- hemispheric infarcts
- frontal lobe infarct
- parietal lobe infarct
- temporal lobe infarct
- occipital lobe infarct
- alexia without agraphia syndrome: PCA
- cortical blindness syndrome (Anton syndrome): top of basilar or bilateral PCA
- Balint syndrome: bilateral PCA
- lacunar infarct
-
thalamic infarct
- artery of Percheron infarct
- Déjerine-Roussy syndrome (thalamic pain syndrome): thalamoperforators of PCA
- top of the basilar syndrome
- striatocapsular infarct
- choroid plexus infarct
- cerebellar infarct
-
brainstem infarct
- midbrain infarct
- Benedikt syndrome: PCA
- Claude syndrome: PCA
- Nothnagel syndrome: PCA
- Weber syndrome: PCA
- Wernekink commissure syndrome
- pontine infarct
- Brissaud-Sicard syndrome
- facial colliculus syndrome
- Gasperini syndrome: basilar artery or AICA
- inferior medial pontine syndrome (Foville syndrome): basilar artery
- lateral pontine syndrome (Marie-Foix syndrome): basilar artery or AICA
- locked-in syndrome: basilar artery
- Millard-Gubler syndrome: basilar artery
- Raymond syndrome: basilar artery
- medullary infarct
- Babinski-Nageotte syndrome
- Cestan-Chenais syndrome
- hemimedullary syndrome (Reinhold syndrome)
- lateral medullary stroke syndrome (Wallenberg syndrome)
- medial medullary syndrome (Déjerine syndrome)
- Opalski syndrome
- midbrain infarct
- acute spinal cord ischemia syndrome
- hemispheric infarcts
- by vascular territory
- by vessel size
- treatment options
- complications
-
intracranial hemorrhage
-
intra-axial hemorrhage
- signs and formulas
- ABC/2 (volume estimation)
- black hole sign
- blend sign
- cashew nut sign
- CTA spot sign
- island sign
- satellite sign
- swirl sign
- zebra sign
- by type
- by location
- signs and formulas
- extra-axial hemorrhage
- extradural hemorrhage (EDH)
- intralaminar dural hemorrhage
- subdural hemorrhage (SDH)
-
subarachnoid hemorrhage (SAH)
- types
- complications
- grading systems
- subpial hemorrhage
-
intra-axial hemorrhage
Unable to process the form. Check for errors and try again.