Hypertensive Encephalopathy with Reversible Brainstem Edema
Journal of Korean Neurosurgical Society
;
: 139-141, 2013.
Article
in English
| WPRIM
| ID: wpr-85114
ABSTRACT
Presented here is a 36-year-old male with arterial hypertension who developed brainstem edema and intracranial hemorrhage. Magnetic resonance scan revealed diffuse brainstem hyperintensity in T2-weighted and fluid-attenuated inversion-recovery images, with an increase in apparent diffusion coefficient values. After a reduction in blood pressure, rapid resolution of the brainstem edema was observed on follow-up. The patient's condition was thus interpreted as hypertensive brainstem encephalopathy. While many consider this a vasogenic phenomenon, induced by sudden, severe hypertension, the precise mechanism remains unclear. Prompt recognition and aggressive antihypertensive treatment in such patients are essential to prevent permanent or life-threatening neurologic injury.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Blood Pressure
/
Brain Stem
/
Follow-Up Studies
/
Intracranial Hemorrhages
/
Hypertensive Encephalopathy
/
Diffusion
/
Edema
/
Magnets
/
Hypertension
/
Magnetics
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2013
Type:
Article
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