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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Main Authors: Harris A. Ngow, Wan Mohd Nowalid Wan Khairina, Bin Basri Hamidon
Format: Article
Language:English
Published: MDPI AG 2009-05-01
Series:Neurology International
Subjects:
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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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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