Hypertensive brain stem encephalopathy with pontine hemorrhage:A case report

• 作者: Fang Qu Hui-Sheng Chen Zhong-He Zhou
• 来源期刊: 世界神经病学杂志
• 学科: 医学
• 关键词: HYPERTENSIVE BRAIN stem ENCEPHALOPATHY PONTINE HEMORRHAGE
• 年，卷（期）: sjsjbxzz_2013,（3）
• 页码范围: 83-86
• 页数: 4页
• 分类号: R

摘要

Hypertensive brain stem encephalopathy(HBE)is a rare,under diagnosed subtype of hypertensive encephalopathy(HE)which is usually reversible,but with a potentially fatal outcome if hypertension is not managed promptly.To the best of our knowledge,only one case of HE with brain stem hemorrhage has been reported.We report a case of HBE with pontine hemorrhage in a 36-year-old male patient.The patient developed severe arterial hypertension associated with initial computed tomography showing the left basilar part of pons hemorrhage,fluid-attenuated inversion-recovery showing hyperintense signals in the pons and bilateral periventricular,anterior part of bilateral centrum ovale.The characteristic clinical findings were walking difficulty,right leg weakness,and mild headache with nausea which corresponded to the lesions of MR imagings.The lesions improved gradually with improvements in hypertension,which suggested that edema could be the principal cause of the unusual hyperintensity on magnetic resonance images.