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...
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Language: | English |
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MDPI AG
2009-05-01
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Series: | Neurology International |
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Online Access: | https://www.pagepress.org/journals/index.php/ni/article/view/85 |
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author | Harris A. Ngow Wan Mohd Nowalid Wan Khairina Bin Basri Hamidon |
author_facet | Harris A. Ngow Wan Mohd Nowalid Wan Khairina Bin Basri Hamidon |
author_sort | Harris A. Ngow |
collection | DOAJ |
description | 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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format | Article |
id | doaj.art-742d74db02e34792896a757227688570 |
institution | Directory Open Access Journal |
issn | 2035-8385 2035-8377 |
language | English |
last_indexed | 2024-04-10T18:33:10Z |
publishDate | 2009-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Neurology International |
spelling | doaj.art-742d74db02e34792896a7572276885702023-02-02T02:33:00ZengMDPI AGNeurology International2035-83852035-83772009-05-0111e3e310.4081/ni.2009.e385An unusual finding of brain magnetic resonance imaging in a hypertensive patientHarris A. Ngow0Wan Mohd Nowalid Wan Khairina1Bin Basri Hamidon2International Islamic University MalaysiaDepartment of Paediatrics, Hospital Universiti Kebangsaan Malaysia, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala LumpurNeurology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala LumpurBrain 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.https://www.pagepress.org/journals/index.php/ni/article/view/85Cerebral oedemavasogenichypertensive encephalopathymagnetic resonance imagingRPLS |
spellingShingle | Harris A. Ngow Wan Mohd Nowalid Wan Khairina Bin Basri Hamidon An unusual finding of brain magnetic resonance imaging in a hypertensive patient Neurology International Cerebral oedema vasogenic hypertensive encephalopathy magnetic resonance imaging RPLS |
title | An unusual finding of brain magnetic resonance imaging in a hypertensive patient |
title_full | An unusual finding of brain magnetic resonance imaging in a hypertensive patient |
title_fullStr | An unusual finding of brain magnetic resonance imaging in a hypertensive patient |
title_full_unstemmed | An unusual finding of brain magnetic resonance imaging in a hypertensive patient |
title_short | An unusual finding of brain magnetic resonance imaging in a hypertensive patient |
title_sort | unusual finding of brain magnetic resonance imaging in a hypertensive patient |
topic | Cerebral oedema vasogenic hypertensive encephalopathy magnetic resonance imaging RPLS |
url | https://www.pagepress.org/journals/index.php/ni/article/view/85 |
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