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Tegmental Pontine Hemorrhages: Clinical Features and Prognostic Factors

Published online by Cambridge University Press:  18 September 2015

Marcelo Lancman ,
Jorge Norscini ,
Hripsime Mesropian ,
Carlos Bardeci ,
Toselli Bauso  and
Rubens Granillo
Marcelo Lancman*
Affiliation:
Department of Neurology, Hospital Italiano, Buenos Aires, Argentina
Jorge Norscini
Affiliation:
Department of Neurology, Hospital Italiano, Buenos Aires, Argentina
Hripsime Mesropian
Affiliation:
Department of Neurology, Hospital Italiano, Buenos Aires, Argentina
Carlos Bardeci
Affiliation:
Department of Neurology, Hospital Italiano, Buenos Aires, Argentina
Toselli Bauso
Affiliation:
Department of Neurology, Hospital Italiano, Buenos Aires, Argentina
Rubens Granillo
Affiliation:
Department of Neurology, Hospital Italiano, Buenos Aires, Argentina
*
Department of Neurology, Bowman Gray School of Medicine, 300 s Hawthorne Rd., Winston-Salem, North Carolina, U.S.A. 27103
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Abstract:

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We report six patients with partial, predominantly paramedian, tegmental pontine hemorrhages. Constant clinical manifestations consisted of: ipsilateral miosis, horizontal gaze paresis, lower motor neuron facial paresis, contralateral hemisensory loss and mild and transitory hemiparesis, dysarthria and mild or no compromise of consciousness. Five out of six were hypertensive. All patients survived with mild sequelae, oculomotor disturbances being the most persistent deficit. We found in our patients that a transverse diameter of less than 17 mm, unilaterality of the injury and absence of coma were the major indicators of a favorable outcome.

Type
Articles
Information
Canadian Journal of Neurological Sciences , Volume 19 , Issue 2 , May 1992 , pp. 236 - 238
Copyright
Copyright © Canadian Neurological Sciences Federation 1992

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