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.

This report concerns a clinico-pathological study of 60 patients afflicted with primary pontine hemorrhage. The illness was fatal in 43, 17 patients survived. Ophthalmic signs, autonomic disturbances and transient visual hallucination were observed and discussed. A ruptured microaneurysm within the border of a pontine hematoma was detected in this study, and in the first report of such a finding.

Objectives and Importance: Although pontine hemorrhage is very often fatal, the clinical manifestations vary according to the location and extent of the hematoma. We investigated the prognostic factors of pontine hemorrhage by assessing clinical manifestation and CT findings in relation to outcome. Materials and Methods: The outcome and clinical features of 19 patients with pontine hemorrhage w...

BACKGROUND Acute onset of a sensory alien hand phenomenon has been observed only from a supratentorial lesion involving the non-dominant hand, mostly from a right posterior cerebral artery infarction. A single acute vascular lesion resulting in a dominant hand sensory alien hand syndrome has not been previously documented. CASE REPORT A 78-year old right-handed woman exhibited right sensory a...

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....

Central hyperthermia is a very rare disease; however, once it happens, it is associated with a poor prognosis and high mortality for patients with severe brainstem strokes. Following a pontine hemorrhage, a 46-years-old female developed prolonged hyperthermia. Work-ups to the fever gave no significant clues for the origin of fever, and hyperthermia did not respond to any empirical antibiotics o...

In 18 autopsies from patients with primary pontine hemorrhage we studied the sites of bleeding, the volumes and development of hematomas and clinicopathological correlations. A modular optical electronic planimeter was introduced to measure the size of hematomas. The series of patients can be divided into 2 groups from the viewpoint of bleeding sites, their development and clinical symptomatolo...

Correspondence to: Dr Kimihiro Nakamura, Department of Neurology, Osaka Saiseikai Nakatsu Hospital, 2-10-39 Shibata, Kitaku, Osaka 530, Japan. 1 Holtzman RNN, Zablozki V, Yang WC, Leeds NE. Lateral pontine tegmental hemorrhage presenting as isolated trigeminal sensory neuropathy. Neurology 1 987;37:704-6. 2 Kaneko K, Yuasa T, Miyatake T. Pontine infarction manifesting as isolated trigeminal sen...