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Journal of Basic and Clinical Health Sciences 2018 , Vol 2 , Issue 1
Traumatic Isolated Brain Stem Hematoma: A Case Report Presenting with Hemiparesis
Serdar Çevik1,Ulaş Yüksel2,Hayri Oğul3,Göksin Şengül4
1Department of Neurosurgery, Istinye University School of Medicine, Istanbul, Turkey
2Department of Neurosurgery, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
3Department of Radiology, Ataturk University School of Medicine, Erzurum, Turkey
4Department of Neurosurgery, Ataturk University School of Medicine, Erzurum, Turkey
DOI : 10.30621/jbachs.2018.326 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