Korean J Radiol.  2006 Sep;7(3):218-219. 10.3348/kjr.2006.7.3.218.

Hypertensive Encephalopathy: Isolated Pons Involvement Mimicking Central Pontine Myelinolysis

• Gamanagatti S
• Subramanian S

• KMID: 1114357
• DOI: http://doi.org/10.3348/kjr.2006.7.3.218

Abstract

No Abstract Available.

MeSH Terms

Pons/*pathology
Myelinolysis, Central Pontine/*diagnosis
Middle Aged
Male
*Magnetic Resonance Imaging
Hypertensive Encephalopathy/*diagnosis
Humans
Diagnosis, Differential

Figure

• 

  Fig. 1 MRI at the time of admission showing hyperintensity involving the central pons with sparing of the periphery on the T2WI (A) and FLAIR sequence (B).

• 

  Fig. 2 Follow up MRI after two months showing significant resolution of hyperintensity within the pons on the T2WI (A) and FLAIR sequence (B).

Reference

1. Casey SO, Truwit CL. Pontine reversible edema: a newly recognized imaging variant of hypertensive encephalopathy. AJNR Am J Neuroradiol. 2000. 21:243–245.

2. Port JD, Beauchamp NJ Jr. Reversible intracerebral pathologic entities mediated by vascular autoregulatory dysfunction. Radiographics. 1998. 18:353–367.

3. Chang GY, Keane JR. Hypertensive brainstem encephalopathy: three cases presenting with severe brainstem edema. Neurology. 1999. 53:652–654.

4. Chang GY, Keane JR. Hypertensive brain stem encephalopathy. AJNR Am J Neuroradiol. 2000. 21:1366.

5. Thambisetty M, Biousse V, Newman NJ. Hypertensive brainstem encephalopathy: clinical and radiographic features. J Neurol Sci. 2003. 208:93–99.