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Hypertensive microangiopathy

Case contributed by Anthony Nuñez
Diagnosis probable

Presentation

Hypertension and diabetes mellitus without proper control of both.

Patient Data

Age: 80 years
Gender: Male
mri

Multiple small foci of signal drop out and blooming scattered through the basal ganglia, brainstem (especially the pons) and cerebellum, consistent with hypertensive microangiopathy. 

Case Discussion

In elderly patients with microhemorrhages, many conditions must be considered, such as hypertensive microangiopathy (chronic hypertensive encephalopathy), cerebral amyloid angiopathy, a history of neuroinfection (e.g. neurocysticercosis in nodular calcified stage), and history of a primary malignancy (e.g. treated metastases).

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