title: Lateral pontine hemorrhage: atypical clinical manifestations and good outcome.
abstract: Two hypertensive patients presented clinically with unilateral hematomas of the basis pontis demonstrated by computed tomography (CT) scan. Clinical signs showed hemiparesis while the typical signs of pontine hemorrhage--including coma, pin point pupils, ocular bobbing, respiratory abnormalities, and hyperthermia--were absent. Both patients survived with good recovery. Our observations suggest that some patients with pontine hemorrhage produce atypical clinical manifestations and have a good prognosis. Accurate diagnosis may be difficult without CT scan in such cases.
authors.affiliation: Department of Fourth Internal Medicine, Toho University Ohashi Hospital, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Iwasaki
authors.forename: M
authors.initials: M
authors.lastname: Kinoshita
mesh_terms: D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D011149:Pons / Q000000981:diagnostic imaging*; D011379:Prognosis; D014057:Tomography, X-Ray Computed