Abstract
A case of recurrent brain stem edema after surgical vascular decompression in a patient with neurogenic hypertension is presented. The surgical treatment resulted in occlusion of the left vertebral artery, stable blood pressure values, and no recurrence of the brain stem edema. MR imaging and MR angiography are excellent methods with which to assess patients suspected of having neurovascular hypertension, both before and after surgical treatment.
MeSH terms
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Adult
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Basilar Artery / pathology
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Basilar Artery / surgery
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Brain Edema / diagnosis
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Brain Edema / etiology*
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Brain Edema / surgery
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Brain Stem / blood supply*
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Decompression, Surgical
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Diagnosis, Differential
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Female
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Humans
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Hypertension / diagnosis
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Hypertension / etiology*
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Hypertension / surgery
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Image Enhancement
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Imaging, Three-Dimensional
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Magnetic Resonance Angiography*
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Magnetic Resonance Imaging*
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Medulla Oblongata / blood supply
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Nerve Compression Syndromes / complications*
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Nerve Compression Syndromes / diagnosis
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Nerve Compression Syndromes / surgery
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Recurrence
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Reoperation
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Vertebral Artery / pathology
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Vertebral Artery / surgery