[Brainstem edema during a hypertensive crisis with vasogenic and cytotoxic concerns].
METHODS
A 66-year-old woman on antihypertensive treatment was urgently admitted to a neurological/neuroradiological unit with signs of a mild brainstem syndrome and possible hypertensive crisis.


METHODS
Magnetic resonance imaging (MRI) of the head indicated both intracellular (so-called cytotoxic) and vasogenic edema.


METHODS
After antihypertensive medication all symptoms disappeared within an hour and the MRI became essentially normal.


CONCLUSIONS
The reversible vasogenic edema was probably caused by an hypertensive encephalopathy, while the signs of focal cerebral ischemia were due to an intracellular, ultimately irreversible, edema. In this case there was evidence of both phenomena having occurred concomitantly.
Grond
M
M
Abteilung für Neurologie und Neuroradiologie, Kreiskrankenhaus Siegen. m.grond@kreiskrankenhaus-siegen.de
Reul
J
J
D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001929:Brain Edema / Q000175:diagnosis / Q000209:etiology*; D001933:Brain Stem / Q000473:pathology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging
D000959:Antihypertensive Agents