Pontine haemorrhage

Case contributed by Dr Karwan Taha

Presentation

An elderly male patient who is a known case of uncontrolled hypertension presented with irritability and disturbed consciousness. BP was 190/100 mmHg at presentation. During clinical examination the patient developed an attack of seizure followed by dyspnea, cyanosis and loss of consciousness.

Patient Data

Age: 65
Gender: Male
CT

A well-defined intra-axial oval-shaped area of homogenously hyperdensity (recent blood density) is seen in the pontine region.The lesion measures 22x17mm in maximal transverse diameter.The lesion exerts no mass effect.  No associated intraventricular haemorrhage with no hydrocephalus.

The findings highly in favour a pontine haemorrhage.

Normal brain parenchyma, no SOL, no midline shift and normal cerebellar hemispheres.

Case Discussion

The pons is a typical site for hypertension-associated cerebral haemorrhage. It carries a very poor prognosis.

The cause of haemorrhage in this patient is likely secondary to the patient's uncontrolled hypertension. 

PlayAdd to Share

Case information

rID: 56864
Case created: 25th Nov 2017
Last edited: 27th Nov 2017
Inclusion in quiz mode: Included
Excluded from licensing

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.