Bilateral Horizontal Gaze Palsy with Pontine Cavernous Hemangioma: A Case Report
作者:
Masahiko Shimura,
Motohiro Kiyosawa,
Teiji Tominaga,
Makoto Tamai,
期刊:
Ophthalmologica
(Karger Available online 1997)
卷期:
Volume 211,
issue 5
页码: 320-322
ISSN:0030-3755
年代: 1997
DOI:10.1159/000310818
出版商: S. Karger AG
关键词: Pons;Cavernous hemangioma;Gaze palsy;Ophthalmoplegia;Paramedian pontine reticular formation (PPRF)
数据来源: Karger
摘要:
A 31-year-old man demonstrating acquired bilateral gaze palsy as an isolated symptom of a paramedian pontine reticular formation (PPRF) lesion due to a ruptured cryptic cavernous hemangioma is herein reported. MRI revealed a flow void surrounded by a hemorrhagic lesion, which was located in the lower dorsal part of the pons. This lesion corresponded to the PPRF. His eye movement almost completely recovered and MRI revealed the absorption of the hematoma 2 months later, with only conservative observation. This is a rare case presenting most likely with a minimal lesion for bilateral gaze palsy. Based on the above findings it is thus concluded that surgical removal of such a cryptic cavernous hemangioma should therefore not be the only choice.
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