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KMID : 1103720140710060314
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Journal of the Korean Society of Radiology
2014 Volume.71 No. 6 p.314 ~ p.319
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Predominant Hypertensive Brainstem Encephalopathy with Supratentorial Involvement: Case Report and Literature Review
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Kim Ji-Hee
Park Sung-Tae
Lim Hyun-Kyung
Kim Sung-Tae
Cha Ji-Hoon
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Abstract
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Hypertensive encephalopathy typically presents with bilateral parietooccipital vasogenic edema. Brainstem and cerebellar edema are uncommon in association with typical supratentorial changes. We experienced three cases of atypical hypertensive encephalopathy involving brainstem and cerebellum as well as cerebral white matter, which showed characteristic alternating linear bright and low signals in the pons, the so-called "stripe sign". We report these cases here with a brief literature review.
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KEYWORD
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Malignant Hypertension, Hypertensive Encephalopathy, Posterior Leukoencephalopathy Syndrome, Brainstem, Brain Edema
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