Pontine hemorrhage presenting as ataxic hemiparesis.
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چکیده
منابع مشابه
Pontine hemorrhage presenting as ataxic hemiparesis.
THE CLINICAL PICTURE of hypertensive pontine hemorrhage is felt to be uniform. Coma is of abrupt onset with pupillary miosis, total external ophthalmoplegia, and quadriplegia. Death is the rule and occurs within hours to days. 2 This picture has been somewhat modified since the advent of CT scanning. Case reports have documented "submassive" pontine hemorrhage with partial to complete recovery....
متن کاملAtaxic hemiparesis in patients with primary pontine hemorrhage.
Two patients with small primary pontine hemorrhage developed a syndrome identical to ataxic hemiparesis, one of the lacunar syndromes of Fisher. The possible mechanisms of the homolateral cerebellar signs, pyramidal signs, and dysarthria are discussed. Lesions of the ipsilateral pontine nuclei may be responsible for the homolateral ataxia.
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Acute onset hypesthetic-ataxic-hemiparesis is described in two hypertensive patients. Computed tomography (CT) showed an area of increased attenuation consistent with blood in contralateral thalamus. The pathophysiologic implications of the cerebellar and pyramidal system in thalamic hemorrhage is discussed.
متن کاملSensory ataxic hemiparesis in thalamic hemorrhage.
Ataxic hemiparesis with cerebellar-like features has been reported following infarction or hemorrhage of the thalamus. We describe five patients with incoordination and corticospinal tract signs in the limbs opposite a dorsolateral thalamic hemorrhage. In four patients the hemorrhage extended superiorly into the lateral ventricle, the adjacent paraventricular region, and the upper and medial pa...
متن کاملAtaxic hemiparesis with contralateral trigeminal nerve impairment due to pontine hemorrhage.
A most unusual case of right-sided ataxic hemiparesis with left trigeminal involvement is reported. Computerized tomographic scan revealed a small hemorrhage in the basis pontis.
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ژورنال
عنوان ژورنال: Stroke
سال: 1982
ISSN: 0039-2499,1524-4628
DOI: 10.1161/01.str.13.4.518