|
KMID : 1001920130540020139
|
|
Journal of Korean Neurosurgical Society
2013 Volume.54 No. 2 p.139 ~ p.141
|
|
|
Hypertensive Encephalopathy with Reversible Brainstem Edema
|
|
Lee Sung-Joon
Cho Byung-Kyu
Kim Hoon
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Brain stem, Edema, Encephalopathy, Hypertension
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|