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April 1939

RAPIDLY FATAL PONTILE HEMORRHAGEClinical and Anatomic Report

Author Affiliations

Szeged, Hungary

From the Division of Neurosurgery and the Neuropathological Laboratories of the University of Michigan. This work was carried out while I held a fellowship of the Rockefeller Foundation.

Arch NeurPsych. 1939;41(4):793-799. doi:10.1001/archneurpsyc.1939.02270160149012
Abstract

Von Monakow,1 on the basis of the material of Durand-Fardel, stated that 10 per cent of all cerebral hemorrhages occur in the pons. From his description, however, it is not certain that he considered as pontile hemorrhages only those which occurred without evidence of additional hemorrhage within the brain. The more recent statistics of Novák2 showed an exclusively pontile location of 5 per cent of 938 cerebral hemorrhages verified by medicolegal autopsy.

Luce,3 Böhne4 and Neubürger5 stated that the tegmentum is relatively often the seat of massive hemorrhage. Several authors (Gowers6 and Luce) have maintained that pontile hemorrhage, while often located close to the midline, usually does not cross the median raphe. Most descriptions of pontile hemorrhage have been those of syndromes caused by unilateral pontotegmental lesions. Oppenheim,7 however, stated that bilateral involvement of the extremities and cranial nerves in cases of pontile

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