Journal of the Korean Society of Magnetic Resonance in Medicine  2014;18(3):258-262

doi:10.13104/jksmrm.2014.18.3.258

Probable Isolated Hypertensive Brainstem Encephalopathy Combined with Intracerebral Hemorrhage: a Case Report.

Ah Young KIM 1 ; Hyung Suk SEO ; Sang Wuk JEONG ; Yong Seok LEE

Affiliations

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Keywords

Magnetic resonance imaging; Hypertensive Encephalopathy; Cerebral Hemorrhage; Hypertension

Country

Republic of Korea

Language

English

Abstract

Hypertensive encephalopathy and basal ganglia intracerebral hemorrhage (ICH) are a medical emergency caused by a sudden elevation of systemic blood pressure. Although the relationship between hypertensive encephalopathy and large ICH has not been clarified yet, Cushing reflex in acute elevations of ICP due to large ICH may induce or aggravate hypertensive encephalopathy. We report a rare case of isolated hypertensive brainstem encephalopathy combined with hypertensive ICH.