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KMID : 0374920080290010107
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Inje Medical Journal
2008 Volume.29 No. 1 p.107 ~ p.112
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A Case of Hypertensive Encephalopathy Involving Brainstem
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Park Kang-Min
Yang Hyun-Woo
Lee Sung-Hoon
Bae Jong-Seok
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Abstract
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Hypertensive encephalopathy is a medical emergency of which clinical manifestations are associated with bilateral posterior cerebral lesions. However, neuroimaging findings have been reported in only a few cases. We describe a case of hypertensive encephalopathy in which high blood pressure was accompanied by headache, generalized seizure and mental deterioration and T2 weighted magnetic resonance images showed hyperintense lesions in the pons and left occipital lobe. The lesions were nearly disappeared after stabilization of blood pressure, suggesting that induced edema could be the main cause of the MR imaging-observed hyperintensity.
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KEYWORD
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Hypertensive encephalopathy, Brainstem
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