Mesencephalic hemorrhage--a report of 3 cases.
We studied three patients with spontaneous mesencephalic hemorrhages. All presented with some degree of impaired consciousness and abnormal ocular movements. One patient had a convergence-retraction nystagmus with a unilateral hemorrhage confined to the dorsal midbrain. Another patient showed left third nerve palsy due to a unilateral hemorrhage that involved ventral midbrain. The third patient revealed left internuclear ophthalmoplegia with ataxia due to a pinpoint hemorrhage in the tegmentum of the left midbrain. The patients survived and major neurologic deficits recovered, but abnormal ocular movements persisted.
Han
S H
SH
Department of Neurology, College of Medicine, Seoul National University.
Roh
J K
JK
Myung
H J
HJ
D000328:Adult; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008636:Mesencephalon; D008875:Middle Aged; D014057:Tomography, X-Ray Computed