Chronic hypertensive encephalopathy

Case contributed by Dr Henry Knipe

Presentation

Vertigo, right sided cerebellar signs ?intracranial haemorrhage.

Patient Data

Age: 70
Gender: Female

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

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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