J Korean Med Sci.  1989 Mar;4(1):1-5. 10.3346/jkms.1989.4.1.1.

Mesencephalic hemorrhage: a report of 3 cases

Affiliations
  • 1Department of Neurology, College of Medicine, Seoul National University, Korea.

Abstract

We studied three patients with spontaneous mesencephalic hemorrhages. All presented with some degree of impaired consciousness and abnormal ocular movements. One patient had a convergence-retraction nystagmus with a unilateral hemorrhage confined to the dorsal midbrain. Another patient showed left third nerve palsy due to a unilateral hemorrhage that involved ventral midbrain. The third patient revealed left internuclear ophthalmoplegia with ataxia due to a pinpoint hemorrhage in the tegmentum of the left midbrain. The patients survived and major neurologic deficits recovered, but abnormal ocular movements persisted.

Keyword

Mesencephalic hemorrhage; Abnormal ocular movements; Impaired consciousness

MeSH Terms

Adult
Cerebral Hemorrhage/*physiopathology/radiography
Humans
Male
Mesencephalon
Middle Aged
Tomography, X-Ray Computed
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