Traumatic brainstem hemorrhage presenting with hemiparesis

Young Bem Se, Choong Hyun Kim, Koang Hum Bak, Jae Min Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Traumatic brainstem hemorrhage after blunt head injury is an uncommon event. The most frequent site of hemorrhage is the midline rostral brainstem. The prognosis of these patients is poor because of its critical location. We experienced a case of traumatic brainstem hemorrhage. A 41-year-old male was presented with drowsy mentality and right hemiparesis after blunt head injury. Plain skull radiographs and brain computerized tomography scans revealed a depressed skull fracture, epidural hematoma, and hemorrhagic contusion in the right parieto-occipital region. But, these findings did not explain the right hemiparesis. T2-weighted magnetic resonance (MR) image of the cervical spine demonstrated a focal hyperintense lesion in the left pontomedullary junction. Brain diffusion-weighted and FLAIR MR images showed a focal hyperintensity in the ventral pontomedullary lesion and it was more prominent in the left side. His mentality and weakness were progressively improved with conservative treatment. We should keep in mind the possibility of brainstem hemorrhage if supratentorial lesions or spinal cord lesions that caused neurological deficits in the head injured patients are unexplainable.

Original languageEnglish
Pages (from-to)176-178
Number of pages3
JournalJournal of Korean Neurosurgical Society
Volume45
Issue number3
DOIs
StatePublished - 2009 Jul 6

Fingerprint

Traumatic Brain Stem Hemorrhage
Closed Head Injuries
Paresis
Brain Stem
Depressed Skull Fracture
Magnetic Resonance Spectroscopy
Hemorrhage
Occipital Lobe
Contusions
Brain
Skull
Hematoma
Spinal Cord
Spine
Head
Tomography

Keywords

  • Brain stem hemorrhage
  • Head trauma
  • Hemiparesis

Cite this

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Traumatic brainstem hemorrhage presenting with hemiparesis. / Se, Young Bem; Kim, Choong Hyun; Bak, Koang Hum; Kim, Jae Min.

In: Journal of Korean Neurosurgical Society, Vol. 45, No. 3, 06.07.2009, p. 176-178.

Research output: Contribution to journalArticle

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AB - Traumatic brainstem hemorrhage after blunt head injury is an uncommon event. The most frequent site of hemorrhage is the midline rostral brainstem. The prognosis of these patients is poor because of its critical location. We experienced a case of traumatic brainstem hemorrhage. A 41-year-old male was presented with drowsy mentality and right hemiparesis after blunt head injury. Plain skull radiographs and brain computerized tomography scans revealed a depressed skull fracture, epidural hematoma, and hemorrhagic contusion in the right parieto-occipital region. But, these findings did not explain the right hemiparesis. T2-weighted magnetic resonance (MR) image of the cervical spine demonstrated a focal hyperintense lesion in the left pontomedullary junction. Brain diffusion-weighted and FLAIR MR images showed a focal hyperintensity in the ventral pontomedullary lesion and it was more prominent in the left side. His mentality and weakness were progressively improved with conservative treatment. We should keep in mind the possibility of brainstem hemorrhage if supratentorial lesions or spinal cord lesions that caused neurological deficits in the head injured patients are unexplainable.

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