Serial investigation of perfusion disturbances and vasogenic oedema in hypertensive encephalopathy by diffusion and perfusion weighted imaging

Neuroradiology. 2002 Apr;44(4):299-304. doi: 10.1007/s00234-001-0721-7. Epub 2002 Feb 16.


Serial MRI including diffusion and perfusion imaging was performed in a patient with hypertensive encephalopathy. At admission, the patient was disorientated and presented with seizures and cortical blindness. Perfusion imaging showed a marked reduction in blood volume and flow, with corresponding vasogenic oedema in the occipital, posterior temporal, and, to a lesser extent, frontal lobes. The clinical symptoms disappeared rapidly following treatment, whereas the disturbed circulation pattern and vasogenic oedema resolved more slowly. A complete normalisation was seen after 1 year.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain / pathology
  • Brain Edema / diagnosis*
  • Brain Edema / etiology
  • Cerebrovascular Circulation*
  • Humans
  • Hypertensive Encephalopathy / complications
  • Hypertensive Encephalopathy / physiopathology*
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged