title: An unsual finding of brain magnetic resonance imaging in a hypertensive patient.
abstract: 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.
authors.affiliation: International Islamic University of Malaysia, Kulliyah of Medicine, Kuantan, Pahang, Malaysia;
authors.forename: Harris A
authors.initials: HA
authors.lastname: Ngow
authors.forename: Wan Mohd Nowalid
authors.initials: WM
authors.lastname: Wan Khairina
authors.forename: Bin Basri
authors.initials: BB
authors.lastname: Hamidon