[Odontoidectomy in the treatment of medically refractory, neurogenic hypertension].
The authors present a case of medically refractory, neurogenic hypertension where the MR examination revealed an odontoid compression of the anterior medulla as a consequence of a basilar impression. Following transoral odontoidectomy and craniocervical fixation, the blood pressure in the 24-year-old woman returned to normal, and 1 year postoperatively she remains normotensive and off all medication. This reported case provides further support to the theory that there is a subgroup of patients who may have a vascular compression of the medulla with no neurological symptoms other than hypertension.
Barzó
Pál
P
Szegedi Tudományegyetem, Szent-Györgyi Albert Orvos- és Gyógyszerésztudományi Centrum, Altalános Orvostudományi Kar, Idegsebészeti Klinika. pbarzo@yahoo.com
Vörös
Erika
E
Csajbók
Eva
E
Abrahám
György
G
Légrády
Péter
P
Deák
Gábor
G
Veres
Róbert
R
D000328:Adult; D016025:Bone Transplantation; D003251:Constriction, Pathologic / Q000601:surgery; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000473:pathology*; D019635:Neurosurgical Procedures / Q000379:methods; D009809:Odontoid Process / Q000473:pathology* / Q000601:surgery*; D014182:Transplantation, Autologous