Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy

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: Hindawi Limited 2013-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2013/540947
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spelling doaj-f4fa821c35874792bd4a68c68ef331d22020-11-25T01:01:18ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Y. Osman
Y. Z. Imam
K. Salem
H. Al-Hail
B. Uthman
D. Deleu
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
author_facet Y. Osman
Y. Z. Imam
K. Salem
H. Al-Hail
B. Uthman
D. Deleu
author_sort Y. Osman
title Isolated Brainstem Involvement in a Patient with Hypertensive Encephalopathy
title_short 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_sort isolated brainstem involvement in a patient with hypertensive encephalopathy
publisher Hindawi Limited
series Case Reports in Neurological Medicine
issn 2090-6668
2090-6676
publishDate 2013-01-01
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.
url http://dx.doi.org/10.1155/2013/540947
work_keys_str_mv AT yosman isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy
AT yzimam isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy
AT ksalem isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy
AT halhail isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy
AT buthman isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy
AT ddeleu isolatedbrainsteminvolvementinapatientwithhypertensiveencephalopathy
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