Kushner M J, Bressman S B
Neurology. 1985 May;35(5):637-43. doi: 10.1212/wnl.35.5.637.
The survival rate was 40% in 10 patients suffering hemorrhage into the pons who were admitted to an acute care facility. This rate is higher than previously reported. In addition to the "classic" pontine hematoma syndrome characterized by coma, quadriparesis, and eventual demise, two more benign syndromes arising from hemorrhage confined to one side of the pons were also recognized. In one of these hemipontine syndromes, hematoma involved both the basis pontis and tegmentum and was associated with hemiparesis, brainstem signs, and preserved consciousness. In the other, hemorrhage was confined to the tegmentum and was associated with gaze paresis, motor sparing, and preserved consciousness. All patients suffering hemipontine hemorrhage survived. An impressive degree of functional recovery occurred in these survivors.
在一家急症护理机构收治的10例脑桥出血患者中，生存率为40%。这一比率高于先前报道。除了以昏迷、四肢瘫和最终死亡为特征的“经典”脑桥血肿综合征外，还认识到另外两种由局限于脑桥一侧的出血引起的较为良性的综合征。在其中一种半侧脑桥综合征中，血肿累及脑桥基底部和被盖部，并伴有偏瘫、脑干体征和意识保留。另一种情况是，出血局限于被盖部，伴有凝视麻痹、运动保留和意识保留。所有患有半侧脑桥出血的患者均存活。这些幸存者出现了令人印象深刻的功能恢复。
