Hypertensive encephalopathy of brain stem with minimal supratentorial involvement: A rare manifestation of hypertensive encephalopathy

Hirokazu Fujiwara, Suketaka Momoshima, Sachio Kuribayashi, Hiroyuki Sasamura

Research output: Contribution to journalArticle

10 Citations (Scopus)


We report a case of a 38-year-old man with brain stem hypertensive encephalopathy. MR imaging revealed diffuse hyperintensities in the brain stem. Diffusion-weighted imaging (DWI) 7 was normal, and apparent diffusion coefficient (ADC) values were increased in the brain stem. The supratentorial regions were largely spared, and only subtle high intensities were seen. The lesions completely resolved after stabilization of blood pressure. The findings of normal DWI and high ADC values were compatible with vasogenic edema due to hypertension.

Original languageEnglish
Pages (from-to)504-507
Number of pages4
JournalRadiation Medicine - Medical Imaging and Radiation Oncology
Issue number7
Publication statusPublished - 2005 Nov 1



  • Brain stem
  • Diffusion-weighted imaging
  • Hypertensive encephalopathy

ASJC Scopus subject areas

  • Radiation
  • Radiology Nuclear Medicine and imaging
  • Oncology

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