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Hypoperfusion injury related to blood pressure decrease in acute hypertensive intracerebral hemorrhage continues to be a controversial topic. Aggressive treatment is provided with the intent to stop the ongoing bleeding. However, there may be additional factors, including autoregulation and increased intracranial pressure, that may limit this approach. We present here a case of acute hypertensive intracerebral hemorrhage, in which aggressive blood pressure management to levels within the normal range led to global cerebral ischemia within multiple border zones. Global cerebral ischemia may be of concern in the management of hypertensive hemorrhage in the presence of premorbid poorly controlled blood pressure and increased intracranial pressure.
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篇名 Aggressive blood pressure treatment of hypertensive intracerebral hemorrhage may lead to global cerebral hypoperfusion: Case report and imaging perspective
来源期刊 世界放射学杂志:英文版(电子版) 学科 医学
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年,卷(期) 2017,(12) 所属期刊栏目
研究方向 页码范围 448-453
页数 6页 分类号 R445.2
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世界放射学杂志:英文版(电子版)
月刊
1949-8470
北京市朝阳区东四环中路62号楼远洋国际中
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785
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1
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