[Clinical and developmental aspects of small brain stem hematomas. Contribution of x-ray computed tomography].
In a review of 16 cases, the authors emphasize that small brainstem haemorrhages, diagnosed by CT-scan, can have a good outcome, most often spontaneously. Twelve hematomas were in the pons, four in the mesencephalon. Several clinical features were remarkable: consciousness was not or moderately impaired, focal symptoms and signs predominantly neuro-ophthalmologic were present. Involvement of the cranial nerves and long tracts occurred rarely in isolation. Arterial hypertension was the usual cause (50 p. cent); one normotensive patient with neurological disorders prior to the bleeding had an arteriovenous malformation, demonstrated angiographically. In two cases an obstructive hydrocephalus was surgically treated. Expected advances from CT-scan and magnetic resonance imaging (M.R.I.) are discussed.
le Coz
P
P
Woimant
F
F
George
B
B
Merland
J J
JJ
Haguenau
M
M
Pepin
B
B
D000328:Adult; D000368:Aged; D001933:Brain Stem / Q000000981:diagnostic imaging*; D005260:Female; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Aspects cliniques et évolutifs des hématomes circonscrits du tronc cérébral. Apport du scanner X.