Nocturnal Hypertension in Multiple System Atrophy May Cause Posterior Reversible Encephalopathy Syndrome
| Autor: | Toshihiko Suenaga, Kazuto Tsukita, Akiyo Shinde, Kaoru Yagita |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty posterior reversible encephalopathy syndrome (PRES) Hemodynamics Case Report 030204 cardiovascular system & hematology Nocturnal Multiple system atrophy (MSA) 03 medical and health sciences 0302 clinical medicine Atrophy Internal medicine Internal Medicine medicine Humans multiple system atrophy (MSA) nocturnal hypertension (NH) medicine.diagnostic_test business.industry Dysautonomia Posterior reversible encephalopathy syndrome Magnetic resonance imaging General Medicine Middle Aged Multiple System Atrophy medicine.disease Magnetic Resonance Imaging Posterior Leukoencephalopathy Syndrome Hypertension Cardiology medicine.symptom Sleep business 030217 neurology & neurosurgery |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.0759-18 |
| Popis: | Nocturnal hypertension (NH) is a symptom of cardiovascular dysautonomia in multiple system atrophy (MSA); however, care and medication are often insufficient. We herein report a patient with MSA who showed posterior reversible encephalopathy syndrome (PRES) caused by hypertension during sleep. He presented clinically with total blindness; T2-weighted magnetic resonance imaging showed high signal intensities in the bilateral subcortical occipital-temporal lobes. His PRES was completely reversed by blood pressure control. NH may contribute to the development of PRES. The appropriate assessment and management of hemodynamic changes in MSA, including NH, is necessary to prevent severe complications such as PRES. |
| Databáze: | OpenAIRE |
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