Primary pontine hemorrhage with dysarthria-clumsy hand syndrome

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  • Dysarthria-clumsy hand syndromeをしめした原発性橋出血の1例

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A 50-year-old hypertensive man presented the typical dysarthria-clumsy hand syndrome manifested by severe dysarthria, central facial weakness, dysphagia, deviation of the tongue on protrusion, clumsiness, incoordination of the affected hand, and mild imbalance on walking. CT performed on the day of admission revealed a small hematoma in the right upper pons.<BR>After 20 days, CT showed complete resolution and correlated with clinical improvement.<BR>The dysarthria-clumsy hand syndrome is attributed to a lacunar infarct in the pons, internal capsule and corona radiata, but it is an uncommon presentation of primary pontine hemorrhage.

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