Share：
Share this content in WeChat
X
[Chinese][PDF]107194
• Clinical Article •
Diagnosis and differential diagnosis of MRI in hypertensive encephalopathy
DAI Shi-peng  PANG Jun  DAI Jing-ru 

DOI:10.3969/j.issn.1674-8034.2014.01.004.


[Abstract] Objective: To diagnosis and differential diagnosis in the patients with hypertensive encephalopathy.Materials and Methods: The clinical data including MRI of 38 patients with hypertensive encephalopathy were analyzed retrospectively.Results: There were positive findings in 38 patients on MRI. The positive findings mainly included brain edema and focal cerebral hemorrhage. The systolic blood pressure ranged from 180 to 230 mm Hg and diastolic blood pressure from 120 to 150 mm Hg in the patients. There were the clinical manifestations of high intracranial pressure in all the patients.Conclusions: The main manifestation of imaging is cerebral edema, and the diagnosis and differential diagnosis may be made by imagings combined with clinical manifestations in the patients with hypertensive encephalopathy.
[Keywords] Hypertensive encephalopathy；Magnetic resonance imaging

DAI Shi-peng Department of MRI, Cangzhou People’s Hospital, Hebei Province, Cangzhou 061000, China

PANG Jun Department of MRI, Cangzhou People’s Hospital, Hebei Province, Cangzhou 061000, China

DAI Jing-ru Department of MRI, Cangzhou People’s Hospital, Hebei Province, Cangzhou 061000, China

Conflicts of interest   None.

Received  2013-08-02
Accepted  2013-11-27
DOI: 10.3969/j.issn.1674-8034.2014.01.004
DOI:10.3969/j.issn.1674-8034.2014.01.004.

[1]
Schneider JP, Krhmer S, Gunther A, et al. Cerebral lesions in acute arterial hypertension: the characteristic MRI in hypertensive encephalopathy. Rofo, 2006, 178(6): 618-626.
[2]
Sheth RD, Riggs JE, Bodenstenier JB, et al. Parietal oceipital edema in hypertension and encephalopathy: a pathogenic mechanism. Eur Neurol, 1996, 36(1): 25-26.
[3]
Burrus TM, Wijdicks EF, Rabinstein AA. Brain lesions are most often reversible in acute thrombotic thrombocytopenic purpura. Neurology, 2009, 73(1): 66-70.
[4]
Hamilton BE, Nesbit GM. Delayed CSF enhancement in posterior reversible encephalopathy syndrome. AJNR Am j Neuroradiol, 2008,29(3): 456-457.
[5]
Ishikura K, Ikeda M, Hamasaki Y, et al. Posterior reversible encephalopathy syndrome in children: its high prevalence and more extensive imaging findings. Am J Kidney Dis, 2006, 48(2): 231-238.
[6]
Hodnett P, Coyle J, O’Regan K, et al. PRES (posterior reversible encephalopathy syndrome), a rare complication of tacrolimus therapy. Emerg Radiol, 2009, 16(6): 493-496.
[7]
王志群，李坤成，武力勇,等.脑后部可逆性脑病综合征的MRI及DWI特点.放射学实践, 2009, 24(8): 828-831.
[8]
汤群峰，吴力源，陈宏伟，等.脑后部可逆性脑病综合征与MELAS的磁共振特征对照研究.磁共振成像, 2012, 3(1): 24-29.

PREV Application value of MR spectroscopy in the peritumoral tissue of brain astrocytic tumours
NEXT 1H magentic resonance spectroscopy in the diagnoisis of multiple sclerosis
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn