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Case Reports
. 2014 May 29:2014:bcr2013200787.
doi: 10.1136/bcr-2013-200787.

Pontine stroke and bladder dysfunction

Rakesh Shukla  1 , Prithvi Giri  1 , Aveg Bhandari  1 , S N Shankhwar  2
Affiliations
Case Reports

Pontine stroke and bladder dysfunction

Rakesh Shukla et al. BMJ Case Rep. .

Abstract

We report the case of a 54-year-old hypertensive woman who presented with sudden onset left hemiparesis with facial asymmetry and inability to pass urine. Her bladder was distended and she had to be catheterised. MRI of her brain showed a large infarct in the right pontine region. Antiplatelet therapy was instituted and the patient showed good recovery and was able to walk with support after a fortnight at the time of discharge. She was discharged with a catheter in situ. After 6 months, she could walk with the support of a stick, but had increased frequency and urgency of micturition along with nocturia. Urodynamic study revealed detrusor hyper-reflexia, possibly due to involvement of the pontine micturition centre.

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Figures

Figure 1
Figure 1
(A) T2-weighted image showing hyperintense lesion in right paramedian pons. (B) Diffusion-weighted MRI showing a restricted area in the right paramedian pons.
See this image and copyright information in PMC

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References

    1. Nakayama H, Jorgensen HS, Pedersen PM, et al. Prevalence and risk factors of incontinence after stroke: the Copenhagen Stroke Study. Stroke 1997;28:58–62 - PubMed
    1. Ling L, Zhu L, Zeng J, et al. Pontine infarction with pure motor hemiparesis or hemiplegia: a prospective study. BMC Neurol 2009;9:25. - PMC - PubMed
    1. Milagres AC, Alóe F, Limongi JC. Pontine tegmentum hematoma. Report of a case with pure hemiplegia. Arq Neuropsiquiatr 1998;56:129–32 - PubMed
    1. Nighoghossian N, Ryvlin P, Trouillas P, et al. Pontine versus capsular pure motor hemiparesis. Neurology 1993;43:2197–201 - PubMed
    1. Silverman IE, Liu GT, Volpe NJ, et al. The crossed paralyses. The original brain-stem syndromes of Millard-Gubler, Foville, Weber, and Raymond-Cestan . Arch Neurol 1995;52:635–8 - PubMed

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