| Reversible multifocal leukoencephalopathy associated with a nocturnal blood pressure non-dipper pattern. | |
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MedLine Citation:
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PMID: 20353314 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The majority of cases of leukoencephalopathy related to hypertensive crisis show brain lesions predominantly in the posterior lobe. Such cases are usually classified as reversible posterior leukoencephalopathy syndrome (RPLS). A multifocal distribution pattern is also possible, but occurs seldom. Here we report two patients with extensive white matter lesions that affect the entire brain, related to hypertensive crisis associated with a non-dipper pattern of blood pressure during the night as well as renal dysfunction. This nocturnal blood pressure abnormality may be relevant for the distribution pattern of cerebral white matter lesions and underlines the concept that in these cases a 24-h ambulatory blood pressure monitoring is needed. |
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Authors:
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Oliver Kaut; Attila Kovacs; Thorsten Okulla; Horst Urbach; Thomas Klockgether |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Blood pressure Volume: 19 ISSN: 1651-1999 ISO Abbreviation: Blood Press. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-05 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9301454 Medline TA: Blood Press Country: England |
Other Details:
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Languages: eng Pagination: 267-9 Citation Subset: IM |
Affiliation:
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Department of Neurology, University of Bonn, Bonn, Germany. oliver.kaut@ukb.uni-bonn.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Pressure / physiology Blood Pressure Monitoring, Ambulatory Circadian Rhythm / physiology* Humans Hypertensive Encephalopathy / physiopathology* Leukoencephalopathy, Progressive Multifocal / physiopathology* Male Middle Aged Posterior Leukoencephalopathy Syndrome / physiopathology* |
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