Pontine hematomas

Pontine hematomas are very rare lesions that in the past were found at postmortem examination rather than diagnosed from the clinical presentation. The advent of computed tomography allowed more frequent identification of those lesions which has shown a more favorable prognosis than formerly thought. Three patients suffering from intrapontine hematomas, revealed by computed tomography, are discussed. The etiopathogenesis, location, and clinical features of this lesion are discussed in an attempt to establish general criteria for adequate management. All 3 patients (2 treated conservatively and 1 by surgical evacuation) had a successful outcome. Repeat CT scans gave evidence of resolution of the lesion in all patients.