Korean J Cerebrovasc Surg.
2004 Mar;6(1):73-76.
Posterior Fossa Decompression for Hypertensive Cerebellar Encephalopathy: Case Report
- Affiliations
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- 1Department of Neurosurgery, Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea. leejw@yumc.yonsei.ac.kr
- 2Department of Pathology, Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- Hypertensive encephalopathy is a medical emergency that is usually presented with manifestating headache, nausea, and visual disturbance. The disease predominantly involves the parieto-occipital white matter. Although cerebellar lesion accompanying hydrocephalus has been occasionally described in the literature, medical management has been sufficient for relieving the posterior fossa hypertension. In the present case, we report a patient who was diagnosed with primary hypertensive cerebellar encephalopathy refractory to medical management and who was successfully treated by surgical decompression of the posterior fossa. A pathologic microscopic inspection of the tissue specimen confirmed hypertensive vascular change.
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