Two Cases of Hypertensive Encephalopathy Involving the Brainstem.
- Author:
Sa Yoon KANG
1
;
Jay Chol CHOI
;
Ji Hoon KANG
Author Information
- Publication Type:Case Report
- Keywords: Hypertension; Brainstem; Hypertensive encephalopathy
- MeSH: Brain Stem*; Edema; Emergencies; Humans; Hypertension; Hypertensive Encephalopathy*; Kidney Failure, Chronic; Neuroimaging
- From:Journal of Clinical Neurology 2007;3(1):50-52
- CountryRepublic of Korea
- Language:English
- Abstract: Hypertensive encephalopathy is a medical emergency whose clinical manifestations are usually associated with bilateral parieto-occipital lesions. Predominant brainstem edema without accompanying occipital lesions is rare in hypertensive encephalopathy and usually occurs in patients with secondary hypertension. We describe the clinical and radiological features of two patients with reversible hypertensive brainstem encephalopathy. Both patients had chronic renal failure, but the extensive neuroimaging abnormalities revealed few clinical features of brainstem involvement. The clinical findings and neuroimaging abnormalities resolved once the hypertension was treated.
