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May 1981

Primary Pontine Hemorrhage With Complete Recovery

Author Affiliations

From the Departments of Neurology (Drs Lavi and Reches) and Radiology (Dr Rothman), Hebrew University, Hadassah Medical School, Jerusalem.

Arch Neurol. 1981;38(5):320. doi:10.1001/archneur.1981.00510050086019

We report here an uncommon case of primary pontine hemorrhage with complete clinical recovery and with resolution of the hematoma as visualized by computerized tomography (CT).

REPORT OF A CASE  A 38-year-old woman with no history of previous illness was hospitalized because of acute onset of vomiting, severe frontal headache, slurred speech, weakness in the extremities, and paresthesias in both hands. Examination revealed blood pressure of 180/115 mm Hg, a somnolent and dysarthric patient with constricted pupils barely reactive to light, bilateral abducent and facial nerve pareses, flaccid quadriparesis, brisk tendon reflexes, and bilateral extensor plantar responses.Results of routine blood tests, ECG, and chest roentgenogram were normal. The CSF was clear, with normal pressure and protein and glucose values, and contained 90 RBCs per milliliter. A CT scan revealed a high-density area confined to the pons that was not enhanced after injection of contrast material. This area represented a

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