Document Detail

Hypertensive encephalopathy: findings on CT, MR imaging, and SPECT imaging in 14 cases.
MedLine Citation:
PMID:  1632361     Owner:  NLM     Status:  MEDLINE    
Hypertensive encephalopathy is a syndrome consisting of headache, seizures, visual changes, and other neurologic disturbances in patients with elevated systemic blood pressure. The purpose of this study was to analyze the imaging findings in 14 patients with hypertensive encephalopathy. CT (n = 13), MR (n = 12), and single-photon emission computed tomography (n = 2) examinations performed in these patients before and after resolution of symptoms were reviewed. Eight had the preeclampsia-eclampsia syndrome, and six had hypertensive encephalopathy due to other causes. CT and MR findings in all patients having these examinations were indicative of edema in the cortex and subcortical white matter in the occipital lobes. Two of the 14 patients also had similar findings in the cerebellum and frontal lobes. Single-photon emission computed tomography showed increased vascular perfusion adjacent to areas that appeared abnormal on CT and MR. The findings on the imaging studies resolved on follow-up examinations performed after the hypertension was corrected. Our results suggest that the radiologic findings associated with hypertensive encephalopathy may be useful in establishing the diagnosis in the appropriate clinical setting.
R B Schwartz; K M Jones; P Kalina; R L Bajakian; M T Mantello; B Garada; B L Holman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  159     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-08-18     Completed Date:  1992-08-18     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  379-83     Citation Subset:  AIM; IM    
Department of Radiology, Brigham and Women's Hospital, Boston, MA.
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MeSH Terms
Brain Diseases / diagnosis*,  etiology
Eclampsia / complications
Headache* / etiology
Hypertension / complications*
Image Enhancement
Magnetic Resonance Imaging*
Middle Aged
Seizures* / etiology
Tomography, Emission-Computed, Single-Photon*
Tomography, X-Ray Computed*

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