Hypertensive brain stem encephalopathy
Journal
American Journal of Emergency Medicine
Journal Volume
33
Journal Issue
1
Pages
131.e5-131.e7
Date Issued
2015
Author(s)
Abstract
48-year-old man presented with headache and extreme hypertension. Computed tomography showed diffuse brain stem hypodensity. Magnetic resonance imaging revealed diffuse brain stem vasogenic edema. Hypertensive brain stem encephalopathy is an uncommon manifestation of hypertensive encephalopathy, which classically occurs at parietooccipital white matter. Because of its atypical location, the diagnosis can be challenging. Moreover, the coexistence of hypertension and brain stem edema could also direct clinicians toward a diagnosis of ischemic infarction, leading to a completely contradictory treatment goal. ? 2014 Elsevier Inc. All rights reserved.
SDGs
Other Subjects
valsartan; adult; antihypertensive therapy; Article; brain edema; brain stem; case report; cerebral peduncle; computer assisted tomography; diffusion weighted imaging; disease control; disease duration; dizziness; headache; human; hypertension; hypertension encephalopathy; hypertensive brain stem encephalopathy; long term care; male; mesencephalon; middle aged; middle cerebellar peduncle; neuroimaging; pons; remission; diagnostic imaging; differential diagnosis; Hypertensive Encephalopathy; Brain Stem; Diagnosis, Differential; Diagnostic Imaging; Humans; Hypertensive Encephalopathy; Male; Middle Aged
Type
journal article