Hypertensive brain stem encephalopathy

Pen Yuan Liao; Chien Chang Lee; Cheng Yu Chen

doi:10.1016/j.ajem.2014.06.032

Hypertensive brain stem encephalopathy

Pen Yuan Liao, Chien Chang Lee, Cheng Yu Chen

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

48-year-old man presented with headache and extreme hypertension. Computed tomography showed diffuse brain stem hypodensity. Magnetic resonance imaging revealed diffuse brain stem vasogenic edema. Hypertensive brain stem encephalopathy is an uncommon manifestation of hypertensive encephalopathy, which classically occurs at parietooccipital white matter. Because of its atypical location, the diagnosis can be challenging. Moreover, the coexistence of hypertension and brain stem edema could also direct clinicians toward a diagnosis of ischemic infarction, leading to a completely contradictory treatment goal.

Original language	English
Pages (from-to)	131.e5-131.e7
Journal	American Journal of Emergency Medicine
Volume	33
Issue number	1
DOIs	https://doi.org/10.1016/j.ajem.2014.06.032
Publication status	Published - Jan 1 2015

ASJC Scopus subject areas

Emergency Medicine

Access to Document

10.1016/j.ajem.2014.06.032

Cite this

@article{38ecaed3b3af44108801e21b2ccd2f14,

title = "Hypertensive brain stem encephalopathy",

abstract = "48-year-old man presented with headache and extreme hypertension. Computed tomography showed diffuse brain stem hypodensity. Magnetic resonance imaging revealed diffuse brain stem vasogenic edema. Hypertensive brain stem encephalopathy is an uncommon manifestation of hypertensive encephalopathy, which classically occurs at parietooccipital white matter. Because of its atypical location, the diagnosis can be challenging. Moreover, the coexistence of hypertension and brain stem edema could also direct clinicians toward a diagnosis of ischemic infarction, leading to a completely contradictory treatment goal.",

author = "Liao, {Pen Yuan} and Lee, {Chien Chang} and Chen, {Cheng Yu}",

year = "2015",

month = jan,

day = "1",

doi = "10.1016/j.ajem.2014.06.032",

language = "English",

volume = "33",

pages = "131.e5--131.e7",

journal = "American Journal of Emergency Medicine",

issn = "0735-6757",

publisher = "W.B. Saunders",

number = "1",

}

TY - JOUR

T1 - Hypertensive brain stem encephalopathy

AU - Liao, Pen Yuan

AU - Lee, Chien Chang

AU - Chen, Cheng Yu

PY - 2015/1/1

Y1 - 2015/1/1

N2 - 48-year-old man presented with headache and extreme hypertension. Computed tomography showed diffuse brain stem hypodensity. Magnetic resonance imaging revealed diffuse brain stem vasogenic edema. Hypertensive brain stem encephalopathy is an uncommon manifestation of hypertensive encephalopathy, which classically occurs at parietooccipital white matter. Because of its atypical location, the diagnosis can be challenging. Moreover, the coexistence of hypertension and brain stem edema could also direct clinicians toward a diagnosis of ischemic infarction, leading to a completely contradictory treatment goal.

AB - 48-year-old man presented with headache and extreme hypertension. Computed tomography showed diffuse brain stem hypodensity. Magnetic resonance imaging revealed diffuse brain stem vasogenic edema. Hypertensive brain stem encephalopathy is an uncommon manifestation of hypertensive encephalopathy, which classically occurs at parietooccipital white matter. Because of its atypical location, the diagnosis can be challenging. Moreover, the coexistence of hypertension and brain stem edema could also direct clinicians toward a diagnosis of ischemic infarction, leading to a completely contradictory treatment goal.

UR - http://www.scopus.com/inward/record.url?scp=84918496305&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84918496305&partnerID=8YFLogxK

U2 - 10.1016/j.ajem.2014.06.032

DO - 10.1016/j.ajem.2014.06.032

M3 - Article

C2 - 25082596

AN - SCOPUS:84918496305

SN - 0735-6757

VL - 33

SP - 131.e5-131.e7

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

IS - 1

ER -

Hypertensive brain stem encephalopathy

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this