Pontine hemorrhage

Case contributed by Dr Chris O'Donnell

Presentation

Sudden collapse and respiratory arrest. Intubated.

Patient Data

Age: 65
Gender: Male
CT

Very large intra-parenchymal hematoma involving and expanding the pons with marked mass effect

Case Discussion

This is a typical site for hypertension-associated cerebral hemorrhage although it is rarely seen on antemortem CT scanning as it is usually an acutely fatal condition.  Differential diagnosis would include bleeding into a vascular malformation such as a cavernous hemangioma.

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Case information

rID: 28982
Published: 24th Apr 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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