Lateral medullary vascular compression manifesting as paroxysmal hypertension.
Détails
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_C58F949B99AD
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Lateral medullary vascular compression manifesting as paroxysmal hypertension.
Périodique
Acta neurochirurgica
ISSN
0942-0940 (Electronic)
ISSN-L
0001-6268
Statut éditorial
Publié
Date de publication
15/03/2024
Peer-reviewed
Oui
Volume
166
Numéro
1
Pages
139
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
Neurovascular compression of the rostral ventrolateral medulla (RVLM) has been described as a possible cause of refractory essential hypertension. We present the case of a patient affected by episodes of severe paroxysmal hypertension, some episodes associated with vago-glossopharyngeal neuralgia. Classical secondary forms of hypertension were excluded. Imaging revealed a neurovascular conflict between the posterior inferior cerebellar artery (PICA) and the ventrolateral medulla at the level of the root entry zone of the ninth and tenth cranial nerves (CN IX-X REZ). A MVD of a conflict between the PICA and the RVLM and adjacent CN IX-X REZ was performed, resulting in reduction of the frequency and severity of the episodes. Brain MRI should be performed in cases of paroxysmal hypertension. MVD can be considered in selected patients.
Mots-clé
Humans, Medulla Oblongata/diagnostic imaging, Hypertension/complications, Vagus Nerve, Glossopharyngeal Nerve Diseases, Pressure, Far lateral approach, Microvascular decompression, Neurogenic hypertension, Symptomatic paroxysmal hypertension, Vago-glossopharyngeal neuralgia, Ventrolateral medullary decompression
Pubmed
Web of science
Open Access
Oui
Création de la notice
22/03/2024 14:20
Dernière modification de la notice
09/08/2024 16:05