Brainstem hemorrhage
Presentation
Sudden loss of vision and then consciousness. CPR during transport. Anisocoria. IC bleeding?
Patient Data
Age: 40 years
Gender: Male
From the case:
Brainstem hemorrhage
CT
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Axial non-contrast
- Large mesencephalic and pontine bleeding causing perifocal edema and breaking into the fourth ventricle.
- Resultant effacement of the infratentorial extracerebral liquor spaces.
- Hypodense areas in supratentorial bilateral deep white matter in line with chronic small vessel ischemic changes.
Case Discussion
Primary brainstem hemorrhages are characterized by a dramatic presentation and rapid clinical progression due to the secondary mass effect.
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