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What is pontine haemorrhage?

Updated: 8/11/2023
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13y ago

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Pontine hemorrhage is a bleeding which occurs in pons. CT Brain is diagnostic... Organophosphate poisoning is ingestion of insect poison. these two has the same clinical picture of "constricted pin point pupil". But in opc poisoning we can smell the kerosene like odor from patient mouth and excessive salivation & secretion will be there..

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13y ago

acute haemorrhage within the pons causing a characteristic clinical picture.

The patient complains of a severe headache and rapidly becomes unconscious, and then develops periodic respiration, pinpoint pupils, loss of "doll's head" ocular movements and tetraplegia. There is no flaccidity and the patient may rapidly go into decerebrate posturing. Hypertension is the main cause of pontine haematoma. CT is the first examination of choice and shows the hyperintense haematoma usually occupying a large part of the pons, sometimes with intraventricular rupture within the first ventricle

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A pontine, or brain stem hemorrhage, produces a pinpoint pupil because the fibers in the brain are unaffected. Therefore, dilation is interrupted, causing the pinpoint, but eyes can look relatively normal.


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