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May 1980

Unilateral Gunshot Wound of the Pons: Clinical, Electrophysiologic, and Neuroradiologic Correlates

Author Affiliations

From the Neurobehavior Unit (Dr Boller) and the Service of Audiology and Speech Pathology (Dr Jacobson), Cleveland Veterans Administration Hospital and Case Western University School of Medicine, Cleveland. Dr Boller is now with the University of Pittsburgh School of Medicine.

Arch Neurol. 1980;37(5):278-281. doi:10.1001/archneur.1980.00500540056005

• Following a gunshot wound to the face, a 17-year-old male patient experienced a right trigeminal and abducens paralysis, dysarthria, right-sided ataxia, left-sided weakness of the lower part of the face and limbs, and left-sided sensory loss from his neck down. Brainstem auditory evoked potentials showed a decreased P5/P1 amplitude ratio for left ear presentation, and inconsistent replication of P2 and P3 on the right and, to a lesser extent, on left ear click presentations. A computerized tomography scan showed right pontine atrophy. These findings point to a unilateral lesion of the right pons.

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