No abstract available.
Hypertensive Encephalopathy*

No abstract available.
Hypertensive Encephalopathy ; Stroke, Lacunar

Hypertensive encephalopathy is a medical disorder, which occurs with sudden increase of blood pressure (BP). The MRI findings of hypertensive encephalopathy are diffuse hyperintensity on T2-weighted images, predominantly within the cortex and subcortical white matter of the parieto-occipital lobe. The brainstem is rarely involved. Diffusion-weighted images do not show any abnormalities. We report two patients with hypertensive encephalopathy whose MRI showed exclusive brainstem involvement. They improved rapidly after BP control.
Blood Pressure ; Brain Stem* ; Humans ; Hypertensive Encephalopathy ; Magnetic Resonance Imaging

Hypertensive encephalopathy is a medical disorder, which occurs with sudden increase of blood pressure (BP). The MRI findings of hypertensive encephalopathy are diffuse hyperintensity on T2-weighted images, predominantly within the cortex and subcortical white matter of the parieto-occipital lobe. The brainstem is rarely involved. Diffusion-weighted images do not show any abnormalities. We report two patients with hypertensive encephalopathy whose MRI showed exclusive brainstem involvement. They improved rapidly after BP control.
Blood Pressure ; Brain Stem* ; Humans ; Hypertensive Encephalopathy ; Magnetic Resonance Imaging

Humans ; Hypertensive Encephalopathy ; etiology ; Purpura, Schoenlein-Henoch ; complications ; diagnosis

No abstract available.
Brain Diseases* ; Brain Stem* ; Humans ; Hypertensive Encephalopathy ; Stroke, Lacunar*

A 8-yrs-old boy was admitted because of convulsion and coma. The diagnosis of Cushing's syndrome(key word) associated with hypertensive encephalopathy(key word) due to right adrenocortical carcinoma(key word) was made by clinical features, biochemical studies, radiological studies and pathological examination. The tumor was successfully resected by right adrenalectomy. But 22 months later after operation, he died of dyspnea and heart failure. A brief review of literature was presented.
Adrenalectomy ; Coma ; Cushing Syndrome* ; Diagnosis ; Dyspnea ; Heart Failure ; Humans ; Hypertension ; Hypertensive Encephalopathy* ; Male ; Seizures

A 8-yrs-old boy was admitted because of convulsion and coma. The diagnosis of Cushing's syndrome(key word) associated with hypertensive encephalopathy(key word) due to right adrenocortical carcinoma(key word) was made by clinical features, biochemical studies, radiological studies and pathological examination. The tumor was successfully resected by right adrenalectomy. But 22 months later after operation, he died of dyspnea and heart failure. A brief review of literature was presented.
Adrenalectomy ; Coma ; Cushing Syndrome* ; Diagnosis ; Dyspnea ; Heart Failure ; Humans ; Hypertension ; Hypertensive Encephalopathy* ; Male ; Seizures

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.
Decompression* ; Decompression, Surgical ; Emergencies ; Headache ; Humans ; Hydrocephalus ; Hypertension ; Hypertensive Encephalopathy ; Nausea

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.
Brain Stem* ; Edema ; Emergencies ; Humans ; Hypertension ; Hypertensive Encephalopathy* ; Kidney Failure, Chronic ; Neuroimaging