[A case of pontine hematoma with Foville's syndrome in childhood].
We reported a surviving case of 6-year-old boy with pontine hematoma. He complained of headache as an initial symptom and developed progressively Foville's syndrome with impairments of the IX-XII cranial nerves. Although brainstem tumor was suspected initially using CT scan, MRI revealed the existence of hematoma in the ventromedial pons. During the first 4 months of his clinical course, Gd-DTPA did not demonstrate any enhancement in that lesion. However, hemangiomatous lesion was suspected by subsequent serial MRIs with positive Gd-DTPA enhancement. Using conservative treatment including oral corticosteroids, all the neurological deficits disappeared in several months and he did not show any recurrence of clinical signs for 3 years. It was suggested that MRI was very useful in the differential diagnosis and the follow-up of hematoma in the posterior fossa.
Kodaka
R
R
Department of Pediatrics, Osaka University Faculty of Medicine, Suita.
Ono
J
J
Takai
K
K
Tanaka
J
J
Nagai
T
T
Harada
K
K
Tsujino
Y
Y
Okada
S
S
D000055:Accessory Nerve; D002543:Cerebral Hemorrhage / Q000150:complications*; D002648:Child; D003389:Cranial Nerve Diseases / Q000209:etiology; D003937:Diagnosis, Differential; D005930:Glossopharyngeal Nerve; D006406:Hematoma / Q000150:complications*; D006801:Humans; D007002:Hypoglossal Nerve; D008297:Male; D009886:Ophthalmoplegia / Q000209:etiology*; D010243:Paralysis / Q000209:etiology*; D011149:Pons; D013577:Syndrome; D014630:Vagus Nerve