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KMID : 1130620050010020177
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Journal of Clinical Neurology
2005 Volume.1 No. 2 p.177 ~ p.179
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Primary Medullary Hemorrhage Associated with Hypertension
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Kwon Hyung-Min
Park Jong-Moo
Lee Jee-Young
Yoon Byung-Woo
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Abstract
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Spontaneous primary medullary hemorrhage is a rare event. A 64-year-old man was admitted for sudden-onset vertigo and vomiting. His clinical features were similar to those of lateral medullary syndrome. The patient had no anticoagulant therapy, vascular malformation, or a caudal extension of a pontine hemorrhage. The patient had multiple hypertensive changes, including retinopathy, left ventricular hypertrophy on electrocardiography, multiple cerebral microbleeds, and small-vessel changes on MRI. T2*-weighted gradient echo MRI performed 3 months prior to admission and contrast-enhanced MRI showed no evidence of vascular malformation. We concluded that the patient had uncontrolled hypertension that may have lead to primary medullary hemorrhage
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KEYWORD
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Hemorrhage, Medulla, Hypertension, MRI
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