title: Hypertensive encephalopathy extending into the whole brainstem and deep structures.
abstract: In patients with hypertensive encephalopathy, brain edema is frequently distributed in the parieto-occipital white matter. We report a patient with high arterial blood pressure of over 300/160 mmHg on admission, who had extensive MRI-documented reversible lesions throughout the whole brain, including the brainstem, thalami, basal ganglia, and cerebellum. Extraordinarily severe acceleration of hypertension may be essential for the breakdown of autoregulation in the deep structures, especially in the brainstem including medulla.
authors.affiliation: Division of Internal Medicine. Stroke Center, Fukuoka Red Cross Hospital, Fukuoka, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kumai
authors.forename: Kazunori
authors.initials: K
authors.lastname: Toyoda
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Fujii
authors.forename: Setsuro
authors.initials: S
authors.lastname: Ibayashi
mesh_terms: D000368:Aged; D001479:Basal Ganglia / Q000473:pathology; D001933:Brain Stem / Q000473:pathology*; D002531:Cerebellum / Q000473:pathology; D006801:Humans; D020343:Hypertensive Encephalopathy / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D013788:Thalamus / Q000473:pathology