J Korean Neurol Assoc.  2022 Aug;40(3):235-239. 10.17340/jkna.2022.3.3.

Hypertensive Brainstem Encephalopathy Combined with Acute Ischemic Stroke

Affiliations
  • 1Department of Neurology, Dong-A University College of Medicine, Busan, Korea
  • 2Busan Regional Cardiocerebrovascular Center, Busan, Korea

Abstract

Posterior reversible encephalopathy syndrome is a clinicoradiological syndrome characterized by a unique reversible pattern on imaging and total regression of clinical symptoms and signs. Hypertensive brainstem encephalopathy (HBE), a brainstem variant of posterior reversible encephalopathy syndrome, is rare. In addition, a concomitant occurrence of acute ischemic stroke and HBE is even more rare. We here report three patients with HBE accompanied by acute cerebral infarction detected by brain magnetic resonance imaging and the importance of initial blood pressure control.

Keyword

Hypertensive encephalopathy; Stroke; Hypertension
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