Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy

Hypertensive encephalopathy typically presents with headache, confusion, and bilateral parietooccipital vasogenic edema. Brainstem edema in hypertensive encephalopathy usually occurs in association with typical supratentorial parieto-occipital changes and is usually asymptomatic. We report here a pa...

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Main Authors: Y. Osman, Y. Z. Imam, K. Salem, H. Al-Hail, B. Uthman, D. Deleu
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2013/540947
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author Y. Osman
Y. Z. Imam
K. Salem
H. Al-Hail
B. Uthman
D. Deleu
author_facet Y. Osman
Y. Z. Imam
K. Salem
H. Al-Hail
B. Uthman
D. Deleu
author_sort Y. Osman
collection DOAJ
description Hypertensive encephalopathy typically presents with headache, confusion, and bilateral parietooccipital vasogenic edema. Brainstem edema in hypertensive encephalopathy usually occurs in association with typical supratentorial parieto-occipital changes and is usually asymptomatic. We report here a patient with hypertensive encephalopathy, with isolated brain stem involvement on magnetic resonance imaging (MRI). Rapid treatment of hypertension resulted in clinical and radiological improvement. Prompt recognition of the condition and aggressive treatment of hypertension in such patients is crucial to relieve edema and prevent life-threatening progression.
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publishDate 2013-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-f4fa821c35874792bd4a68c68ef331d22025-08-20T02:22:10ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/540947540947Isolated Brainstem Involvement in a Patient with Hypertensive EncephalopathyY. Osman0Y. Z. Imam1K. Salem2H. Al-Hail3B. Uthman4D. Deleu5Department of Neurology and Neurophysiology, Hamad Medical Corporation, Doha, QatarDepartment of Neurology and Neurophysiology, Hamad Medical Corporation, Doha, QatarDepartment of Radiology, Hamad Medical Corporation, Doha, QatarDepartment of Neurology and Neurophysiology, Hamad Medical Corporation, Doha, QatarDepartment of Neurology and Neurophysiology, Hamad Medical Corporation, Doha, QatarDepartment of Neurology and Neurophysiology, Hamad Medical Corporation, Doha, QatarHypertensive encephalopathy typically presents with headache, confusion, and bilateral parietooccipital vasogenic edema. Brainstem edema in hypertensive encephalopathy usually occurs in association with typical supratentorial parieto-occipital changes and is usually asymptomatic. We report here a patient with hypertensive encephalopathy, with isolated brain stem involvement on magnetic resonance imaging (MRI). Rapid treatment of hypertension resulted in clinical and radiological improvement. Prompt recognition of the condition and aggressive treatment of hypertension in such patients is crucial to relieve edema and prevent life-threatening progression.http://dx.doi.org/10.1155/2013/540947
spellingShingle Y. Osman
Y. Z. Imam
K. Salem
H. Al-Hail
B. Uthman
D. Deleu
Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
Case Reports in Neurological Medicine
title Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
title_full Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
title_fullStr Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
title_full_unstemmed Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
title_short Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
title_sort isolated brainstem involvement in a patient with hypertensive encephalopathy
url http://dx.doi.org/10.1155/2013/540947
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AT ddeleu isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy