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Computed Tomographic Scans and Anatomical Correlations in Four Patients

Alain Autret, MD; Fabienne Laffont, MD; Bertrand de Toffol, MD; Henri-Pierre Cathala, MD

Arch Neurol. 1988;45(11):1236-1242.

Abstract
• A common pattern of reduction in both rapid eye movement and non—rapid eye movement sleep associated with various lateral gaze paralyses was present in four cases of brain-stem stroke. From computed tomographic scan data, clinical inferences, and, in two cases, neuropathologic sections, the common lesions were localized in the medial pontine tegmentum, ie, the inner part of the gigantocellular and pontis centralis caudalis nuclei. These data in humans were compared with lesions obtained experimentally in cats.

Author Affiliations
From the Clinique Neurologique, Centre Hospitalier Régional et Universitaire de Tours (France), Hôpital Bretonneau (Drs Autret and de Toffol); and the Service d'Exploralions Fonchionelles-Neurologie, Hôpital de la Saltpetriére, Paris (Drs Laffont and Cathala).

Footnotes
Accepted for publication May 16, 1988.

Reprint requests to Clinique Neurologique, Centre Hospitalier Régional et Universitaire de Tours, Hôpital Bretonneau, 37044 Tours Cedex, France (Dr Autret).

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