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Open Access 01-12-2024 | Hypertension | Case Report

Lateral medullary vascular compression manifesting as paroxysmal hypertension

Authors: L. Giammattei, G. Wuerzner, K. Theiler, P. Vollenweider, V. Dunet, M. Al Barajraji, J. W. Squair, J. Bloch, R. T. Daniel

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

Neurovascular compression of the rostral ventrolateral medulla (RVLM) has been described as a possible cause of refractory essential hypertension. We present the case of a patient affected by episodes of severe paroxysmal hypertension, some episodes associated with vago-glossopharyngeal neuralgia. Classical secondary forms of hypertension were excluded. Imaging revealed a neurovascular conflict between the posterior inferior cerebellar artery (PICA) and the ventrolateral medulla at the level of the root entry zone of the ninth and tenth cranial nerves (CN IX-X REZ). A MVD of a conflict between the PICA and the RVLM and adjacent CN IX-X REZ was performed, resulting in reduction of the frequency and severity of the episodes. Brain MRI should be performed in cases of paroxysmal hypertension. MVD can be considered in selected patients.

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Title: Lateral medullary vascular compression manifesting as paroxysmal hypertension
Authors: L. Giammattei
G. Wuerzner
K. Theiler
P. Vollenweider
V. Dunet
M. Al Barajraji
J. W. Squair
J. Bloch
R. T. Daniel
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Hypertension
Hypertension
Pica
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-06032-y

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Lateral medullary vascular compression manifesting as paroxysmal hypertension

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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