Document Detail

Hypertensive brainstem encephalopathy.
MedLine Citation:
PMID:  14686756     Owner:  NLM     Status:  MEDLINE    
A 45-year-old man developed severe arterial hypertension associated with unusual hyperintensity in the brainstem, around the right internal capsule and in the deep white matter around the bilateral anterior horn of the lateral ventricle on T2-weighted and fluid-attenuated inversion-recovery images. The characteristic clinical findings were mild left hepiparesis and altered mental status which corresponded to the lesions of MR imagings. The lesions improved gradually with improvements in hypertension, which suggested that edema could be the principal cause of the unusual hyperintensity on MR images.
Yuzuru Yasuda; Ichiro Akiguchi; Tadahiko Imai; Masanobu Sonobe; Makoto Kage
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  42     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-12-22     Completed Date:  2004-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1131-4     Citation Subset:  IM    
Center of Neurological and Cerebrovascular Diseases, Takeda Hospital, 841-5 Nishinotoin Shiokoji Dori, Shimogyo-ku, Kyoto 600-8558.
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MeSH Terms
Brain Edema / complications,  etiology
Brain Stem / pathology*
Hypertension, Malignant / complications
Hypertensive Encephalopathy / diagnosis,  etiology*,  therapy
Magnetic Resonance Imaging
Middle Aged

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