Pontine hemorrhage

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Elderly male with sudden onset loss of consciousness. GCS 3.

Patient Data

Age: 70 years
Gender: Male

Brain

ct

Non-contrast CT demonstrates a large pontine hemorrhage with extension of blood into the fourth ventricle and up into the third ventricle. The temporal horns are a little prominent as are the lateral ventricles suggesting developing hydrocephalus. 

Annotated image

Large pontine hemorrhage (*) has extended into the forth ventricle (V4), up the aqueduct of Sylvius (AQ) and into the third ventricle (V3). The lateral ventricles (LV) and their temporal horns (TH) are a little prominent, although this is in part due to age related ex vacuo dilatation. 

Case Discussion

This patient passed away shortly after admission. Presumably this bleed is due to unrecognised hypertension, although no previous history was available.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.