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NEUROLOGY 1987;37:704
© 1987 American Academy of Neurology

Lateral pontine tegmental hemorrhage presenting as isolated trigeminal sensory neuropathy

Robert N.N. Holtzman, MD, Vera Zablozki, MD, Wen C. Yang, MD and Norman E. Leeds, MD

Divisions of Neurosurgery and Neuroradiology of the Beth Israel Medical Center, New York; and the Department of Neurology of the Downstate Medical Center, SUNY, Brooklyn, NY.

A 45-year-old man awoke with numbness and paresthesias on the right side of his face, scalp, ear, and tongue. CT and MRI demonstrated a focal hemorrhage in the dorsolateral right pontine tegmentum. Cerebral angiogra-phy was negative for vascular malformation or aneurysm. CT performed 1 month later showed complete resolution of the pontine hematoma, with residual minimal lateral pontine atrophy.

Address correspondence and reprint requests to Dr. Holtzman, 964 49th Street, Brooklyn, NY 11219.

Received April 10, 1986. Accepted for publication in final form July 14, 1986.




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