PMID: 18719323Aug 23, 2008Paper

Pontine infarction induced by injury of the perforating branch of the basilar artery after blunt head impact: case report

Neurologia Medico-chirurgica
Youichi YanagawaKouichirou Nishi

Abstract

A 77-year-old male pedestrian was hit by a car. On admission, he had disturbance of consciousness and left hemiplegia. Computed tomography (CT) indicated only left frontal subcutaneous hematoma and minor hemorrhage in the left frontal lobe, suggesting axonal injury. CT on hospital day 2 revealed a low density area in the right paramedian pons, but CT angiography showed no dissection or occlusion of the vertebrobasilar artery. The diagnosis was pontine infarction resulting from shearing force injury to the paramedian branch of the basilar artery. He was transferred to another hospital for rehabilitation without improvement of symptoms on hospital day 51. Paramedian pontine infarction tends to occur in patients with risk factors for arteriosclerosis, including hypertension, diabetes mellitus, hyperlipidemia, or smoking. The present elderly patient had hypertension and hyperlipidemia, so arteriosclerosis in the paramedian branch may have contributed to his susceptibility to such injury.

References

Jun 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R D Tannebaum, E P Sloan
Nov 1, 1993·Neurosurgery·S R DharkerN Bhargava
Jan 1, 1993·Stroke; a Journal of Cerebral Circulation·R PikielnyF Micheli
Apr 1, 1997·Stroke; a Journal of Cerebral Circulation·S KataokaG Hirose
Jul 14, 1998·The American Journal of Forensic Medicine and Pathology·A L MorrisonJ C Troncoso
May 1, 1981·Surgical Neurology·P L Fitzgibbons, A H Fruin
Apr 18, 2000·Annals of Surgery·W L BifflJ M Burch
Mar 10, 2001·The American Journal of Emergency Medicine·D Siegel, T Neiders
Aug 9, 2001·The Journal of Trauma·P R MillerM A Croce
Mar 5, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Miki FujimuraTakehide Onuma
Aug 18, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·M J Lawson-SmithT Cadoux-Hudson
Sep 1, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jung Yong AhnSang Heum Kim
Feb 6, 2007·Legal Medicine·Mary E Case

❮ Previous
Next ❯

Citations

Feb 27, 2015·Trauma Monthly·Gholamreza FaridaalaeeTannaz Sattarzadeh Ghadim

❮ Previous
Next ❯

Related Concepts

Related Feeds

Absence Epilepsy

Absence epilepsy is a common seizure disorder in children which can produce chronic psychosocial sequelae. Discover the latest research on absence epilepsies here.