A diabetic male in his 50s with progressive loss of sensitivity on the left side of the body and horizontal diplopia was presented to the clinic. Symptoms appeared after a right basal pneumonia one month before admission. The patient did not have a risk factor of HIV infection. The routine blood analysis at that time was normal. A CT scan showed an expansive lesion in the pons (CT scan attached) which was considered as non-surgical. The patient was treated with corticoids. One week later, the patient showed general deterioration.
The fifth and sixth right cranial nerves were affected. Ataxia and disorders in swallowing were also present. A second CT scan showed that the pontine mass had become larger. The patient died 7 days after his admission and the autopsy was limited to CNS. Pathology The formalin-fixed brain weighed 1424 grams. The forebrain did not present any lesions. The right…
