Pontine haemorrhage

Case contributed by Dr Karwan T. Khoshnaw


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

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. 

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Case information

rID: 56864
Published: 25th Nov 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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