Clinical spectrum and outcome of pontine strokes in a tertiary care hospital of Tripura: A case series

Radiological features, Clinical presentation, hemiparesis, quadriparesis, bladder dysfunction

1Dr. Gourab Das, Specialist Medical Officer,
Agartala Government Medical College & GBPH

2Prof. Swapan Sarkar
Professor and HOD, Department of General
Medicine, Tripura Santiniketan Medical College
& Hospital

3Dr. Bidhan Goswami
Associate Professor, Department of
Microbiology, ORCID iD - 0000-0003-24601014
Agartala Government Medical College & GBPH

4Prof. Rajesh Kishore Debbarma, Professor,
General Medicine Department,
Agartala Government Medical College & GBPH

5*Mrs.Shauli Sengupta, Research Scientist-I,
ORCID iD - 0000-0001-6726-9985
Agartala Government Medical College & GBPH

Received:15-06-2026
Revised:18-07-2026
Accepted: 24-07-2026

European Journal of Prosthodontics and Restorative Dentistry (2026) 34 (7s), 572–580

Clinical spectrum and outcome of pontine strokes in a tertiary care hospital of Tripura: A case series.

Background: Pontine stroke is an uncommon but potentially life-threatening subtype of posterior circulation stroke due to the critical neuroanatomical functions of the pons. Despite its clinical significance, data from northeastern India are scarce. This study aimed to describe the clinical profile, radiological features, management, and short-term outcomes of patients with pontine stroke treated at a tertiary care hospital in Tripura. Methods: A hospital-based case series was conducted in the Department of Medicine, Agartala Government Medical College and GBP Hospital, Tripura, from February to July 2023. Ten consecutive patients with radiologically confirmed pontine stroke were enrolled. Demographic characteristics, vascular risk factors, clinical presentation, neuroimaging findings, treatment, complications, and in-hospital outcomes were recorded using a structured data collection form. Results: Among 136 admitted stroke patients, 10 (7.35%) had pontine stroke, of whom, 91.6% were identified as pontine hemorrhages. The mean age was 63.3 years, with a male predominance. Hypertension was the most common risk factor (50%), followed by diabetes mellitus, dyslipidemia, smoking, and family history of stroke. Clinical manifestations ranged from crossed hemiparesis, quadriparesis, vertigo, dysarthria, and impaired consciousness to rare presentations such as one-and-ahalf syndrome and bladder dysfunction secondary to pontine infarction. Patients with massive pontine hemorrhage had poor outcomes, accounting for an overall mortality of 30%, whereas those with small hemorrhages recovered well with conservative management. Conclusions: Pontine stroke exhibits diverse clinical manifestations and variable outcomes. Early neuroimaging, prompt recognition, aggressive blood pressure control, and multidisciplinary supportive care are essential to improve prognosis. Larger multicentric studies with long-term follow-up are warranted to validate these findings and identify prognostic factors.

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