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Brainstem swelling and noncommunicating hydrocephalus caused by hypertensive brainstem encephalopathy
Nuri Karabay1, Lale Emin, Emel Ada
1Faculty of Medicine, Department of Radiology, Dokuz Eylul University Hospital, Balcova, Turkey, nurikarabay@gmail.com.
Emergency Radiology
|July 10, 2013
Summary
Hypertensive brainstem encephalopathy (HBE) is a severe condition. This case highlights rare HBE involving deep brain matter, leading to critical complications like herniation.
Area of Science:
- Neurology
- Radiology
- Neuroscience
Background:
- Hypertensive encephalopathy is a critical neurological condition.
- Hypertensive brainstem encephalopathy (HBE) involves brainstem lesions.
- Supratentorial involvement in HBE is uncommon.
Observation:
- This report details a rare case of HBE.
- The patient presented with deep supratentorial gray and white matter involvement.
- Radiologic findings showed extensive hyperintensity in brainstem regions.
Findings:
- The HBE case involved deep supratentorial gray and white matter.
- Mass effect from the lesions caused tonsillar herniation.
- Noncommunicating hydrocephalus was also observed.
Implications:
- This case expands the understanding of HBE presentations.
- Highlights the importance of advanced neuroimaging in diagnosing HBE.
- Emphasizes the potential for severe complications in HBE.
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