Pontine stroke

High urgency
-Very severe

Disease that affects the blood vessels responsible for supplying blood to the brain. When there is an obstruction of a blood vessel it is known as ischaemic stroke, whereas when there is bleeding it is known as haemorrhagic stroke.

There are existing factors that favour its appearance, such as: an older age, a family history, ethnicity or gender, arterial hypertension, smoking, diabetes and cardiac diseases.

Typical symptoms of it include loss of strength on one side of the body, unstable gait, double vision and difficulty performing eye movements in the horizontal plane.

Diagnosis is clinical, through a questioning and a physical examination. The study needs to be completed with a CT-scan.

Treatment must be administered in less than three hours since its detection to avoid sequelae and so, it is considered a medical emergency. Medication will be administered to dislodge any artery blockage or blood clot obstructing blood vessels. In eligible cases, endovascular therapy can be applied in order to enable vascular permeability from the inside. Patients affected by haemorrhages have a worse prognosis and can require surgical intervention.

Bibliographic references
  1. Louis R Caplan. Posterior circulation cerebrovascular syndromes. UpToDate, Julio 2015
  2. Louis R Caplan. Etiology, classification, and epidemiology of stroke. UpToDate, Febrero 2016
  3. Jamary Oliveira. Initial assessment and management of acute stroke. UpToDate, Agosto 2016
  4. Wade S. Smith. Enfermedades cerebrovasculares. Harrison. Principios de Medicina Interna, 19e. Capítulo 446
  5. Á. Chamorro Sánchez. Accidentes Vasculares Cerebrales. Farreras Rozman. Medicina Interna, ed 18. Capítulo 170
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Very small pupils


    Inability to open the eye


    Loss of feeling in half the face


    Half the face paralysed


    Loss of strength or paralysis of half of the body