Document Detail

A case of hypertensive encephalopathy with prominent brainstem presentation.
MedLine Citation:
PMID:  19198757     Owner:  NLM     Status:  MEDLINE    
A 39-year-old woman developed severe arterial hypertension associated with brainstem hyperintensity in T2-weighted images and hyperintense lesion in the left basal ganglia. Clinical findings were a sudden loss of consciousness, confusion, nausea, vomiting and headache. Rapid treatment of hypertension resulted in clinical and radiological improvement. Rapid identification and appropriate diagnostics are essential, as prompt treatment usually results in reversal of symptoms; permanent neurologic injury or death can occur with treatment delay.
E Medici; S Arabi; M Sebastianelli; O Pirani; E Giaccaglini
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-02-06
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  30     ISSN:  1590-3478     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-27     Completed Date:  2009-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  IM    
Department of Neurology and Stroke Unit, Regina Elena Hospital, Viale della Vittoria, 60035, Jesi, Italy.
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MeSH Terms
Arterioles / pathology,  physiopathology
Basal Ganglia / pathology,  physiopathology,  radiography
Brain Edema / etiology,  pathology,  physiopathology
Brain Ischemia / etiology,  pathology*,  physiopathology
Brain Stem Infarctions / etiology,  pathology*,  physiopathology
Confusion / etiology
Disease Progression
Homeostasis / physiology
Hypertensive Encephalopathy / pathology*,  physiopathology
Magnetic Resonance Imaging
Nausea / etiology
Pons / pathology*,  physiopathology,  radiography
Unconsciousness / etiology

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