Pontine hemorrhage

Case contributed by Dr Karwan T. Khoshnaw

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 hemorrhage with no hydrocephalus.

The findings highly in favor a pontine hemorrhage.

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

Case Discussion

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

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

PlayAdd to Share

Case information

rID: 56864
Published: 25th Nov 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.