Posterior Fossa Decompression for Hypertensive Cerebellar Encephalopathy: Case Report.
- Author:
Moon Sool YANG
1
;
Jae Whan LEE
;
Yong Bae KIM
;
Tae Seung KIM
;
Kyu Chang LEE
Author Information
1. Department of Neurosurgery, Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea. leejw@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hypertensive encephalopathy;
Posterior fossa;
Decompressionical treatment
- MeSH:
Decompression*;
Decompression, Surgical;
Emergencies;
Headache;
Humans;
Hydrocephalus;
Hypertension;
Hypertensive Encephalopathy;
Nausea
- From:Korean Journal of Cerebrovascular Surgery
2004;6(1):73-76
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hypertensive encephalopathy is a medical emergency that is usually presented with manifestating headache, nausea, and visual disturbance. The disease predominantly involves the parieto-occipital white matter. Although cerebellar lesion accompanying hydrocephalus has been occasionally described in the literature, medical management has been sufficient for relieving the posterior fossa hypertension. In the present case, we report a patient who was diagnosed with primary hypertensive cerebellar encephalopathy refractory to medical management and who was successfully treated by surgical decompression of the posterior fossa. A pathologic microscopic inspection of the tissue specimen confirmed hypertensive vascular change.
