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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.
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篇名 Hypertensive brain stem encephalopathy with pontine hemorrhage:A case report
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) 2013,(3) 所属期刊栏目
研究方向 页码范围 83-86
页数 4页 分类号 R
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研究主题发展历程
节点文献
HYPERTENSIVE
BRAIN
stem
ENCEPHALOPATHY
PONTINE
HEMORRHAGE
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世界神经病学杂志
不定期
2218-6212
北京市朝阳区东四环中路62号楼远洋国际中
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48
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0
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