Chronic hypertensive encephalopathy

Case contributed by Dr Henry Knipe

Presentation

Vertigo, right sided cerebellar signs ?intracranial haemorrhage.

Patient Data

Age: 70
Gender: Female
Modality: CT

Parenchymal haemorrhage centred in the posterior limb of the left internal capsule / lateral margin of the thalamus. 

Modality: MRI

Heterogeneous T1 and T2 signal in the left internal capsule is in keeping with the previously demonstrated haematoma, which is resolving. Confluent periventricular and deep white matter high T2/FLAIR signal. Generalised cerebral atrophy with mild ventriculomegaly. Foci of susceptibility artefact predominantly centred on the basal ganglia with a few in the pons/cerebellum. There are a few supratentorial subcortical foci of susceptibility artefact but these are less prominent.

Case Discussion

This patient had a long history of chronic hypertension, and along with the pattern of microhaemorrhages this represents chronic hypertensive encephalopathy. 

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Case Information

rID: 39993
Case created: 1st Oct 2015
Last edited: 1st Oct 2015
Inclusion in quiz mode: Included

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