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Pain and hyperpathia in pontine haemorrhage
Journal of Neurology
|January 1, 1983
Summary
A pontine hemorrhage caused sudden left-sided weakness, pain, and hypersensitivity in a 56-year-old man. This brainstem bleeding occurred in the floor of the fourth ventricle.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Pontine hemorrhages are a type of stroke affecting the brainstem.
- These hemorrhages can lead to a variety of neurological deficits.
Observation:
- A 56-year-old male presented with acute left-sided hemiparesis.
- The patient also reported spontaneous pain and hyperpathia in the left limbs.
Findings:
- Computed tomography (CT) revealed a small hemorrhage in the pons.
- The hemorrhage was specifically located in the floor of the fourth ventricle.
Implications:
- Pontine hemorrhages require prompt diagnosis and management.
- Understanding the precise location of the bleed is crucial for predicting neurological outcomes.