An unsual finding of brain magnetic resonance imaging in a hypertensive patient
Brain edema in patients with hypertensive encephalopathy frequently affects the parietooccipital 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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Page Press
2009
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/5197/ http://irep.iium.edu.my/5197/ http://irep.iium.edu.my/5197/ http://irep.iium.edu.my/5197/2/Unusual_MRI_in_Hypertension.pdf |
| Summary: | Brain edema in patients with hypertensive encephalopathy frequently affects the parietooccipital 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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