Mesencephalic haematoma: case report with autopsy study.
A 70-year-old hypertensive woman suffered sudden onset of bilateral blepharoptosis. Within a few hours she developed focal signs attributable to a lesion of the mesencephalon, and a stuporous state, from which she did not recover. Neuropathological examination showed a mesencephalic haematoma, but no arteriovenous malformation. A review of reported cases suggests that mesencephalic haematomas have a worse prognosis when they occur in aged hypertensive patients, as compared with younger normotensive patients, in whom they are probably related to arteriovenous malformations.
de Mendonça
A
A
Centro de Estudos Egas Moniz, Serviço de Neurologia, Hospital de Santa Maria, Lisbon, Portugal.
Pimentel
J
J
Morgado
F
F
Ferro
J M
JM
D000368:Aged; D001933:Brain Stem / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000473:pathology*; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008636:Mesencephalon / Q000473:pathology*; D014057:Tomography, X-Ray Computed