Abstract

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.

Original languageEnglish
Pages (from-to)131.e5-131.e7
JournalAmerican Journal of Emergency Medicine
Volume33
Issue number1
DOIs
Publication statusPublished - Jan 1 2015

Fingerprint

Brain Diseases
Brain Stem
Hypertensive Encephalopathy
Hypertension
Brain Edema
Infarction
Headache
Edema
Tomography
Magnetic Resonance Imaging
Therapeutics

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Hypertensive brain stem encephalopathy. / Liao, Pen Yuan; Lee, Chien Chang; Chen, Cheng Yu.

In: American Journal of Emergency Medicine, Vol. 33, No. 1, 01.01.2015, p. 131.e5-131.e7.

Research output: Contribution to journalArticle

Liao, Pen Yuan ; Lee, Chien Chang ; Chen, Cheng Yu. / Hypertensive brain stem encephalopathy. In: American Journal of Emergency Medicine. 2015 ; Vol. 33, No. 1. pp. 131.e5-131.e7.
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