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Upward Transtentorial Herniation, Hydrocephalus, and Cerebellar Edema in Hypertensive Encephalopathy
Neurologist 11:171-175, Adamson, C.D.,et al, 2005
See this aricle in Pubmed
Article Abstract
Isolated edema of the cerebellum with upward transtentorial herniation and obstructive hydrocephalus is a rare presentation of hypertensive encephalopathy and should be considered in patients with an acute hypertensive crisis and mental status changes. This entity responds to prompt blood pressure control; however, emergent ventriculostomy by a neurosurgical team should be entertained for neurologic deterioration secondary to significant obstructive hydrocephalus, as illustrated in this case.
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CAT scan,abnormal
cerebellar edema
confusion
diabetes mellitus
herniation syndromes,intracranial
hydrocephalus
hypertension
hypertensive encephalopathy
level of consciousness,decreased
MRI,abnormal
somnolence
uncal herniation
upward transtentorial herniation
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