Ataxic hemiparesis with contralateral trigeminal nerve impairment due to pontine hemorrhage.
نویسنده
چکیده
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.
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....
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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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BACKGROUND Ataxic hemiparesis is a classic lacunar syndrome that most often localizes to the pons. RESULTS We report 3 patients who presented with left-sided ataxic hemiparesis and were found on imaging to have small right frontal subcortical white matter infarcts in similar locations by diffusion-weighted MRI. [99mTc]hexamethylpropylenamine oxime single-photon emission computed tomography (S...
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minute and regular. Neurological examinations revealed an alert and well-oriented woman with isolated tactile sensory impairment over the right trigeminal distribution including the oral cavity. Pain and temperature sensations were not impaired. The hypesthesia showed so-called onion skin distribution and was least intense in the perioral and perinasal areas and most prominent in the most perip...
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ورودعنوان ژورنال:
- Stroke
دوره 18 1 شماره
صفحات -
تاریخ انتشار 1987