• Am J Emerg Med · Jan 2015

    Case Reports

    Hypertensive brain stem encephalopathy.

    • Pen-Yuan Liao, Chien-Chang Lee, and Cheng-Yu Chen.
    • Department of Emergency Medicine and Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan. Electronic address: pyliao100@hotmail.com.
    • Am J Emerg Med. 2015 Jan 1;33(1):131.e5-7.

    AbstractA 48-year-old man presented with headache and extreme hypertension. Computed tomography showed diffuse brain stem hypodensity. Magnetic resonance imaging revealed diffuse brain stem vasogenic edema. Hypertensive brain stem encephalopathy is an uncommon manifestation of hypertensive encephalopathy, which classically occurs at parietooccipital white matter. Because of its atypical location, the diagnosis can be challenging. Moreover, the coexistence of hypertension and brain stem edema could also direct clinicians toward a diagnosis of ischemic infarction, leading to a completely contradictory treatment goal.

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