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Microvascular Decompression Surgery pp 123–135Cite as

MVD for Neurogenic Hypertension: A Review

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Abstract

Experimental and clinical arguments to estimate that vascular compression of ventrolateral medulla at level of IX–Xth root entry/exit zone (REZ) seem convincing enough to consider vascular decompression as a possible measure for the treatment of apparently essential HT, likely to be of neurogenic origin.

The main problem remains patient selection, even when high-resolution MRI exploration shows images revealing megadolicho-artery(ies) likely to contribute to the pathology. Are these images of elongated arteries the cause or the consequence of the elevated blood pressure? Beyond such uncertainty, it could however be justified to consider decompressive surgery in the few selected patients in whom, in spite of a well-conducted medical treatment, blood pressure remains high, unstable, and thus life threatening.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, University of Lyon 1, Hôpital Neurologique “Pierre Wertheimer”, Groupement Hospitalier EST, 59 Boulevard Pinel, 69003, Lyon, France

    Marc Sindou MD, DSc & Andrei Brînzeu MD

  2. University of Medicine “Victor Babes”, Timisoara, Romania

    Andrei Brînzeu MD

  3. Neurosurgical Department, “Pierre Wertheimer” Hospital, Hospices Civils de Lyon Service de Neurochirurgie A, 59 Bd. Pinel, 69500, Bron, France

    Andrei Brînzeu MD

Authors
  1. Marc Sindou MD, DSc
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  2. Andrei Brînzeu MD
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Corresponding author

Correspondence to Marc Sindou MD, DSc .

Editor information

Editors and Affiliations

  1. Shanghai, China

    Shi-Ting Li

  2. Dept. Neurosurgery, XinHua Hospital, Shanghai, China

    Jun Zhong

  3. UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania, USA

    Raymond F. Sekula, Jr.

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© 2016 Springer Science+Business Media Dordrecht

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Sindou, M., Brînzeu, A. (2016). MVD for Neurogenic Hypertension: A Review. In: Li, ST., Zhong, J., Sekula, Jr., R. (eds) Microvascular Decompression Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7366-9_10

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  • DOI: https://doi.org/10.1007/978-94-017-7366-9_10

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-7365-2

  • Online ISBN: 978-94-017-7366-9

  • eBook Packages: MedicineMedicine (R0)

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