Hypertensive Brainstem Encephalopathy with Extensive Supratentorial Involvement.
- Author:
Dong Gun LEE
1
;
Kyusik KANG
;
Jong Moo PARK
;
Byung Kun KIM
;
Ohyun KWON
;
Jung Ju LEE
Author Information
- Publication Type:Case Report
- Keywords: Hypertensive brainstem encephalopathy; Hypertension
- MeSH: Blood Pressure; Brain Stem*; Cerebellum; Coma; Edema; Female; Humans; Hypertension; Hypertensive Encephalopathy; Magnetic Resonance Imaging; Middle Aged; Renal Insufficiency, Chronic
- From:Journal of the Korean Neurological Association 2015;33(4):315-317
- CountryRepublic of Korea
- Language:Korean
- Abstract: Hypertensive brainstem encephalopathy is a rare variant of hypertensive encephalopathy. A 54-year-old female with chronic kidney disease visited our hospital because of comatose mentality. Her blood pressure was 256/206 mmHg. Magnetic resonance imaging revealed multifocal vasogenic edema in the brainstem, cerebellum, and bilateral cerebral cortical, subcortical, and deep nuclear areas. Her symptoms and radiological lesions improved when the blood pressure was decreased. This case demonstrates that these extensive lesions can be associated with an acute hypertensive crisis.
