Korean Journal of Stroke 2012 ; 14 (3) : p.166~169
Hypertensive Brainstem Encephalopathy with Atypical Supratentorial Involvement
(비전형적 대뇌 침범을 동반한 고혈압성 뇌간뇌병증 1예)
저자 이정곤,노학재·장일미·이경복·안무영
논문 종류 Case Reports 전문 보기 KJS-14-166-169.pdf
Hypertensive brainstem encephalopathy (HBE) is a variant of hypertensive encephalopathy characterized by brainstem and cerebellar involvement. Simultaneous supratentorial involvement in HBE is rarely reported as a vasogenic edema in subcortex and/ or periventricular white matter. A 36-year-old woman visited hospital due to headache lasting 7 days before admission. Initial blood pressure was 270/170mmHg. T2-weighted and fluid-attenuated inversion recovery magnetic resonance imaging revealed multifocal high signal intensity lesions in upper medulla, pons, midbrain and cerebellar hemisphere. Especially, atypical periventricular lesions were shown as perpendicular fingers to the lateral ventricle like multiple sclerosis. Her clinical symptoms and radiological lesions were subsided with lowering blood pressure. We herein report a HBE with unusual supratentorial involvement mimicking multiple sclerosis. (Korean J Stroke 2012;14:166-169)

KEY WORDS: Hypertensive encephalopathy, Multiple sclerosis, Reversible posterior leukoencephalopathy syndrome