Hypertensive Encephalopathy with Reversible Brainstem Edema
Journal of Korean Neurosurgical Society
; : 139-141, 2013.
Article
en En
| WPRIM
| ID: wpr-85114
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Presión Sanguínea
/
Tronco Encefálico
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Estudios de Seguimiento
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Hemorragias Intracraneales
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Encefalopatía Hipertensiva
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Difusión
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Edema
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Imanes
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Hipertensión
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Magnetismo
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Journal of Korean Neurosurgical Society
Año:
2013
Tipo del documento:
Article