Abstract
Hypertensive encephalophathy is a medical emergency whose clinical manifestations are associated with bilateral parieto-occipital lesions. We describe a case of hypertensive brainstem encephalopathy in which high blood pressure was accompanied only by nuchal headaches of violent onset. T2-weighted magnetic resonance images showed hyperintensity and edema of the pons without any parieto-occipital lesions, but with hyperintense lesions at the level of the basal nuclei, insula and temporal lobes. The lesions rapidly regressed once the hypertension had been controlled.
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Received: 4 April 2001 / Accepted in revised form: 5 July 2001
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Morello, F., Marino, A., Cigolini, M. et al. Hypertensive brain stem encephalopathy: clinically silent massive edema of the pons. Neurol Sci 22, 317–320 (2001). https://doi.org/10.1007/s10072-001-8174-7
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DOI: https://doi.org/10.1007/s10072-001-8174-7