An unusual finding of brain magnetic resonance imaging in a hypertensive patient
Brain edema in patients with hypertensive encephalopathy frequently affects the parieto-occipital white matter. Hypertensive encephalopathy is thus included as a differential diagnosis in reversible posterior leukoencephalopathy syndrome. Diffuse white matter involvement rarely occurs. We report a 4...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2009-05-01
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| Series: | Neurology International |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/ni/article/view/85 |
| Summary: | Brain edema in patients with hypertensive encephalopathy frequently affects the parieto-occipital white matter. Hypertensive encephalopathy is thus included as a differential diagnosis in reversible posterior leukoencephalopathy syndrome. Diffuse white matter involvement rarely occurs. We report a 41-year old woman with hypertensive encephalopathy with diffuse and non-enhancing white matter hyper-intensities throughout the whole brain on magnetic resonance imaging (MRI). These hyperintensities spared the grey matter on T2-weighted and FLAIR sequence. These unusual finding on brain MRI was attributed to severe vasogenic cerebral edema resulting from accelerated hypertension. |
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| ISSN: | 2035-8385 2035-8377 |