Thalamic hemorrhage following carotid endarterectomy-induced labile blood pressure: controlling the liability with clonidine--a case report.
Carotid endarterectomy can lead to alterations in baroreceptor sensitivity. Impairment of this sensitivity can in turn lead to volatility of blood pressure (baroreflex failure syndrome--BFS). Rapid elevations in blood pressure can cause hypertensive encephalopathy in a patient with BFS. A patient is presented with hypertensive intracerebral hemorrhage associated with BFS.
Ejaz
A A
AA
Department of Hypertension and Nephrology, Mayo Clinic Jacksonville, Florida 32224, USA.
Meschia
J F
JF
D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D017704:Baroreflex; D018660:Blood Pressure Monitoring, Ambulatory; D002543:Cerebral Hemorrhage / Q000188:drug therapy* / Q000209:etiology*; D003000:Clonidine / Q000627:therapeutic use*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy* / Q000209:etiology*; D013577:Syndrome; D013786:Thalamic Diseases / Q000188:drug therapy* / Q000209:etiology*
D000959:Antihypertensive Agents; D003000:Clonidine