1998
DOI: 10.1590/s0004-282x1998000100023
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Abstract: ABSTRACT-The authors report the case of a 50 year-old hypertensive male patient with a pontine hematoma. The clinical presentation was characterized by pure pyramidal deficit signs (no other signs or symptoms were present). A pure hemiplegia syndrome, although common in supratentorial lesions, is considered to be a rare event in pontine vascular lesions. The pathophysiologic mechanisms of these neurological findings are unclear. The exclusive involvement of the pyramidal tract in this case is likely due to a v… Show more

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“…PMH is the commonest type of lacunar syndrome, occurring in 55–60% of patients with a lacunar stroke; it can be due to a lesion in the internal capsule or in the basis pontis 2 3. However, clinical differentiation between a capsular or pontine localisation is difficult; a history of dysarthria, gait disturbance or vertigo supports a pontine lesion 4.…”
Section: Discussionmentioning
confidence: 99%
“…PMH is the commonest type of lacunar syndrome, occurring in 55–60% of patients with a lacunar stroke; it can be due to a lesion in the internal capsule or in the basis pontis 2 3. However, clinical differentiation between a capsular or pontine localisation is difficult; a history of dysarthria, gait disturbance or vertigo supports a pontine lesion 4.…”
Section: Discussionmentioning
confidence: 99%