LATERAL TEGMENTAL PONTINE HEMORRHAGE DUE TO VASCULAR MALFORMATIONS

Abstract

Lateral tegmental pontine haemorrhages were diagnosed in 3 young, normotensive patients. All had stereotyped symptoms and signs. In 2, the onset was subacute, and the haemorrhage was recurrent, suggesting the presence of an underlying vascular malformation. The diagnoses were established by computerised tomography or magnetic resonance imaging, with angiographic abnormalities confirmed in all cases. Two patients had surgical management and 1 had stereotactic radiosurgery. The risks and potential benefits of these therapeutic options are discussed.