Traumatic Isolated Brain Stem Hematoma: A Case Report Presenting with Hemiparesis
Isolated brain stem hemorrhages are rare but have a high mortality rate after blunt head trauma. 56-year-old male admitted to the emergency room with weakness on the right side of his body, one day after the blunt head trauma. Right hemiparesis which is near to plegia lower extremity motor weakness level was higher than upper extremity was found on his neurological examination. T2-weighted images and susceptibility weighted images SWI of the magnetic resonance revealed heterogenous hyperintense lesion with hemorrhage at the left side of the pons. The patient was managed with conservative treatment; at three-month follow-up, near total recovery was observed on his neurological examination. As a conclusion, it could be said that brain stem contusion with hemorrhage could be kept in mind in patient with hemiparesis if the neurological deficit of the patient cannot be explained by supratentorial or spinal cord lesions
Keywords:
Brain stem, contusion, hemiparesis hemorrhage,
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- Beier AD, Dirks PB. Pediatric brainstem hemorrhages after traumatic brain injury. J Neurosurg Pediatr 2014;14:421–424. [CrossRef]
- Choi JH, Jakob M, Stapf C, Marshall RS, Hartmann A, Mast H. Multimodal early rehabilitation and predictors of outcome in survivors of severe traumatic brain injury. J Trauma 2008;65:1028– 1035. [CrossRef]
- Parizel PM, Makkat S, Jorens PG, et al. Brainstem hemorrhage in descending transtentorial herniation (Duret hemorrhage). Intensive Care Med 2002;28:85–88. [CrossRef]
- Meyer CA, Mirvis SE, Wolf AL, Thompson RK, Gutierrez MA. Acute traumatic midbrain hemorrhage: experimental and clinical observations with CT. Radiology 1991;179:813–818. [CrossRef]
- Gentry LR, Godersky JC, Thompson B. MR imaging of head trauma: review of the distribution and radiopathologic features of traumatic lesions. AJR Am J Roentgenol 1988;150:663–672. [CrossRef]
- Zuccarello M, Fiore DL, Trincia G, De Caro R, Pardatscher K, Andrioli GC. Traumatic primary brain stem haemorrhage: a clinical and experimental study. Acta Neurochir (Wien) 1983;67:103–113.
- Cooper PR, Maravilla K, Kirkpatrick J, et al. Traumatically induced brain stem hemorrhage and the computerized tomographic scan: clinical, pathological, and experimental observations. Neurosurgery 1979;4:115–124.
- Fujimoto Y, Aguiar PH, Freitas AB, de Andrade AF, Marino Junior R. Recovery from Duret hemorrhage: a rare complication after craniotomy –case report. Neurol Med Chir (Tokyo) 2000;40:508–510.
- Hashimoto T, Nakamura N, Richard KE, Frowein RA. Primary brain stem lesions caused by closed head injuries. Neurosurg Rev 1993;16:291–298.
- Crompton MR. Brainstem lesions due to closed head injury. Lancet 1971;1:669–673.
- Sganzerla EP, Rampini PM, De Santis A, et al. Primary traumatic benign midbrain haematoma in hyperextension injuries of the head. Acta Neurochir Suppl (Wien) 1992;55:29–32.
- Jacobs L, Kinkel WR, Heffner RR Jr. Autopsy correlations of computerized tomography: experience with 6,000 CT scans. Neurology 1976;26:1111–1118.
- Kang BK, Na DG, Ryoo JW, Byun HS, Roh HG, Pyeun RS. Diffusion- weighted MR imaging of intracerebral hemorrhage. Korean J Radiol 2001;2:183–191. [CrossRef]
- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2016
- Yayıncı: DOKUZ EYLÜL ÜNİVERSİTESİ
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