Abstract
Nine patients with brainstem infarct and two with brainstem haemorrhage presented with pure motor stroke, pure supranuclear facial palsy, sensorimotor stroke or ataxic hemiparesis. Despite the clinical similarity with hemispheric lacunes, brainstem infarcts causing lacunar syndromes probably have a greater tendency to progress. Small brainstem haemorrhages should also be considered as a cause of lacunar syndromes and the difficulty in differentiating them from small infarcts without CT is emphasised.
Full text
PDF






Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Caplan L. R., Goodwin J. A. Lateral tegmental brainstem hemorrhages. Neurology. 1982 Mar;32(3):252–260. doi: 10.1212/wnl.32.3.252. [DOI] [PubMed] [Google Scholar]
- Chokroverty S., Rubino F. A., Haller C. Pure motor hemiplegia due to pyramidal infarction. Arch Neurol. 1975 Sep;32(9):647–648. doi: 10.1001/archneur.1975.00490510103014. [DOI] [PubMed] [Google Scholar]
- Delgado G., Gàllego J., Zubieta J. L. High resolution CT scan in pontine ataxic hemiparesis. J Neurol Neurosurg Psychiatry. 1985 Oct;48(10):1069–1069. doi: 10.1136/jnnp.48.10.1069. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Donnan G. A., Tress B. M., Bladin P. F. A prospective study of lacunar infarction using computerized tomography. Neurology. 1982 Jan;32(1):49–56. doi: 10.1212/wnl.32.1.49. [DOI] [PubMed] [Google Scholar]
- FISHER C. M., CURRY H. B. PURE MOTOR HEMIPLEGIA OF VASCULAR ORIGIN. Arch Neurol. 1965 Jul;13:30–44. doi: 10.1001/archneur.1965.00470010034005. [DOI] [PubMed] [Google Scholar]
- Fisher C. M. Ataxic hemiparesis. A pathologic study. Arch Neurol. 1978 Mar;35(3):126–128. doi: 10.1001/archneur.1978.00500270008002. [DOI] [PubMed] [Google Scholar]
- Fisher C. M., Caplan L. R. Basilar artery branch occlusion: a cause of pontine infarction. Neurology. 1971 Sep;21(9):900–905. doi: 10.1212/wnl.21.9.900. [DOI] [PubMed] [Google Scholar]
- Fisher C. M. The arterial lesions underlying lacunes. Acta Neuropathol. 1968 Dec 18;12(1):1–15. doi: 10.1007/BF00685305. [DOI] [PubMed] [Google Scholar]
- Ho K. L., Meyer K. R. The medial medullary syndrome. Arch Neurol. 1981 Jun;38(6):385–387. doi: 10.1001/archneur.1981.00510060087020. [DOI] [PubMed] [Google Scholar]
- Ho K. L. Pure motor hemiplegia due to infarction of the cerebral peduncle. Arch Neurol. 1982 Aug;39(8):524–526. doi: 10.1001/archneur.1982.00510200066015. [DOI] [PubMed] [Google Scholar]
- Huang C. Y., Broe G. Isolated facial palsy: a new lacunar syndrome. J Neurol Neurosurg Psychiatry. 1984 Jan;47(1):84–86. doi: 10.1136/jnnp.47.1.84. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Huang C. Y., Chan K. H. Pontine ataxic hemiparesis, a lateral penetrator syndrome? J Neurol Neurosurg Psychiatry. 1984 Sep;47(9):1046–1047. doi: 10.1136/jnnp.47.9.1046. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Huang C. Y., Lui F. S. Ataxic-hemiparesis, localization and clinical features. Stroke. 1984 Mar-Apr;15(2):363–366. doi: 10.1161/01.str.15.2.363. [DOI] [PubMed] [Google Scholar]
- Huang C. Y., Woo E., Yu Y. L., Chan F. L. When is sensorimotor stroke a lacunar syndrome? J Neurol Neurosurg Psychiatry. 1987 Jun;50(6):720–726. doi: 10.1136/jnnp.50.6.720. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KUYPERS H. G. Corticobular connexions to the pons and lower brain-stem in man: an anatomical study. Brain. 1958 Sep;81(3):364–388. doi: 10.1093/brain/81.3.364. [DOI] [PubMed] [Google Scholar]
- Kobatake K., Shinohara Y. Ataxic hemiparesis in patients with primary pontine hemorrhage. Stroke. 1983 Sep-Oct;14(5):762–764. doi: 10.1161/01.str.14.5.762. [DOI] [PubMed] [Google Scholar]
- Lee K. Y., Lie S. K., Chiang T. R., Hung T. P. Small intracerebral hemorrhage clinically simulating lacunar infarction. Taiwan Yi Xue Hui Za Zhi. 1983 Sep;82(9):993–1000. [PubMed] [Google Scholar]
- Leestma J. E., Noronha A. Pure motor hemiplegia, medullary pyramid lesion, and olivary hypertrophy. J Neurol Neurosurg Psychiatry. 1976 Sep;39(9):877–884. doi: 10.1136/jnnp.39.9.877. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Masiyama S., Niizuma H., Suzuki J. Pontine haemorrhage: a clinical analysis of 26 cases. J Neurol Neurosurg Psychiatry. 1985 Jul;48(7):658–662. doi: 10.1136/jnnp.48.7.658. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mori E., Tabuchi M., Yamadori A. Lacunar syndrome due to intracerebral hemorrhage. Stroke. 1985 May-Jun;16(3):454–459. doi: 10.1161/01.str.16.3.454. [DOI] [PubMed] [Google Scholar]
- Rascol A., Clanet M., Manelfe C., Guiraud B., Bonafe A. Pure motor hemiplegia: CT study of 30 cases. Stroke. 1982 Jan-Feb;13(1):11–17. doi: 10.1161/01.str.13.1.11. [DOI] [PubMed] [Google Scholar]
- Ropper A. H., Fisher C. M., Kleinman G. M. Pyramidal infarction in the medulla: a cause of pure motor hemiplegia sparing the face. Neurology. 1979 Jan;29(1):91–95. doi: 10.1212/wnl.29.1.91. [DOI] [PubMed] [Google Scholar]
- Schnapper R. A. Pontine hemorrhage presenting as ataxic hemiparesis. Stroke. 1982 Jul-Aug;13(4):518–519. doi: 10.1161/01.str.13.4.518. [DOI] [PubMed] [Google Scholar]
- Stiller J., Shanzer S., Yang W. Brainstem lesions with pure motor hemiparesis. Computed tomographic demonstration. Arch Neurol. 1982 Oct;39(10):660–661. doi: 10.1001/archneur.1982.00510220058014. [DOI] [PubMed] [Google Scholar]
- Tuhrim S., Yang W. C., Rubinowitz H., Weinberger J. Primary pontine hemorrhage and the dysarthria-clumsy hand syndrome. Neurology. 1982 Sep;32(9):1027–1028. doi: 10.1212/wnl.32.9.1027. [DOI] [PubMed] [Google Scholar]
- Tuttle P. V., Reinmuth O. M. Midbrain hemorrhage producing pure sensory stroke. Arch Neurol. 1984 Jul;41(7):794–795. doi: 10.1001/archneur.1984.04050180120033. [DOI] [PubMed] [Google Scholar]










