Lateral pontine tegmental hemorrhage presenting as isolated trigeminal sensory neuropathy.
A 45-year-old man awoke with numbness and paresthesias on the right side of his face, scalp, ear, and tongue. CT and MRI demonstrated a focal hemorrhage in the dorsolateral right pontine tegmentum. Cerebral angiography was negative for vascular malformation or aneurysm. CT performed 1 month later showed complete resolution of the pontine hematoma, with residual minimal lateral pontine atrophy.
D001927:Brain Diseases / Q000175:diagnosis; D002543:Cerebral Hemorrhage / Q000175:diagnosis*; D003389:Cranial Nerve Diseases / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D011149:Pons / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014276:Trigeminal Nerve