Pontine tegmentum hematoma. Report of a case with pure hemiplegia.

Autor: Milagres AC; Department of Neurology, University of São Paulo Medical School General Hospital, Brazil. albeflav@usp.br, Alóe F, Limongi JC
Jazyk: angličtina
Zdroj: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 1998 Mar; Vol. 56 (1), pp. 129-32.
DOI: 10.1590/s0004-282x1998000100023
Abstrakt: The authors report the case of a 50 year-old hypertensive male patient with a pontine hematoma. The clinical presentation was characterized by pure pyramidal deficit signs (no other signs or symptoms were present). A pure hemiplegia syndrome, although common in supratentorial lesions, is considered to be a rare event in pontine vascular lesions. The pathophysiologic mechanisms of these neurological findings are unclear. The exclusive involvement of the pyramidal tract in this case is likely due to a variation in the vascular anatomy of the pons but, in some cases, a vascular malformation may be the cause.
Databáze: MEDLINE