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Condition: Hypertension
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Total 404 results found since Jan 2013.

Posterior Reversible Encephalopathy Syndrome with Extensive Deep White Matter Lesions Including the Temporal Pole.
We report the case of a 55-year-old man with atypical PRES, who had malignant hypertension and renal dysfunction. Magnetic resonance imaging of the brain revealed extensive vasogenic edema in the deep white matter including the temporal pole, as well as in the brainstem and cerebellum. Antihypertensive therapy and hemodialysis contributed to both clinical and radiological improvement. Involvement of the deep white matter including the temporal pole, which is rarely affected in an ischemic stroke, should be recognized as a potential sign of PRES. PMID: 27904123 [PubMed - in process]
Source: Internal Medicine - December 3, 2016 Category: Internal Medicine Tags: Intern Med Source Type: research

Energy efficiency and pulmonary artery flow after balloon pulmonary angioplasty for inoperable, chronic thromboembolic pulmonary hypertension: Analysis by phase-contrast MRI
Conclusion Analysis of PA energetics using phase-contrast MRI demonstrates that BPA improves energy loss in CTEPH. In addition, BPA responses can be predicted by PA energy status pre-treatment.
Source: European Journal of Radiology - December 16, 2016 Category: Radiology Source Type: research

Myocardial fibrosis detected with Gadolinium Delayed Enhancement in Cardiac Magnetic Resonance Imaging and Ventriculoarterial Coupling alterations in patients with Acute Myocarditis.
CONCLUSION: In acute myocarditis patients, DGE is related to neither EF nor VAC; however, EF significantly affects the VAC status. Further studies are needed to investigate the potential quantitative, rather than qualitative, relationships between these variables. PMID: 28081949 [PubMed - as supplied by publisher]
Source: Hellenic Journal of Cardiology - January 15, 2017 Category: Cardiology Tags: Hellenic J Cardiol Source Type: research

Cerebral white matter lesions after pre-eclampsia
Conclusion Women who require 2 or more drugs to control blood pressure during pregnancy have an increased risk of developing cerebral white matter lesions after delivery.
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - February 16, 2017 Category: OBGYN Source Type: research

What Causes Hyperammonemia?
Discussion Reye’s syndrome (RS)is named for Dr. Douglas Reye who along with Drs. G. Morgan and J. Baral described encephalopathy and fatty accumulation and degeneration in children in a 1963 Lancet article. RS usually affects children but can occur at all ages. All organs can be affected but the liver and brain are primarily affected causing liver failure and encephalopathy as toxic metabolites (especially ammonia) accumulate, and intracranial hypertension and cerebral edema occurs. As the ammonia levels begin to rise (> 100 mg/dL) patients lose their appetite, have nausea and emesis and mental status changes whic...
Source: PediatricEducation.org - February 20, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Idiopathic and Systemic Sclerosis associated Pulmonary Arterial Hypertension: A Comparison of Demographic, Haemodynamic and Magnetic Resonance Imaging Characteristics and Outcomes.
CONCLUSION: The reasons for poorer outcomes in SSc-PAH are likely to be multifactorial including, but not limited to, older age and reduced gas transfer. PMID: 28223154 [PubMed - as supplied by publisher]
Source: Chest - February 17, 2017 Category: Respiratory Medicine Authors: Ramjug S, Hussain N, Hurdman J, Billings C, Charampopoulos A, Elliot CA, Kiely DG, Sabroe I, Rajaram S, Swift AJ, Condliffe R Tags: Chest Source Type: research

Ketamine Therapy for Treatment-resistant Depression in a Patient with Multiple Sclerosis: A Case Report
Conclusion—Ketamine may be an alternative treatment for resistant depression and may have a special use in patients with multiple sclerosis. Introduction Depression is a frequent finding in patients with multiple sclerosis (MS), with the lifetime prevalence rates for major depressive disorder (MDD) ranging from 36 to 54 percent, more than twice of that in the general population.[1] Even with advances in pharmacological options for treating depression, an estimated 33 to 66 percent of patients with MDD in the general population do not respond to the first antidepressant, and a reported 15 to 33 percent of patients do not ...
Source: Innovations in Clinical Neuroscience - February 1, 2017 Category: Neuroscience Authors: ICN Online Editor Tags: Case Report Current Issue Depression Multiple Sclerosis Neurology Psychiatry Psychopharmacology Electroconvulsive therapy Ketamine major depressive disorder treatment-resistant depression Source Type: research

Diffuse carotid arteriosclerosis and stroke in a Patient with Schimke immune- osseous dysplasia
A 4-year-old girl, with history of Schimke immune-osseous dysplasia (SIOD) due to loss of function mutation of SMARCAL1 gene, was presented with acute onset left arm and leg weakness. Her brain magnetic resonance imaging (MRI) showed acute ischemic infarction of right hemisphere and narrowing of bilateral internal carotid arteries (Figure 1 A-C). Her medical history was significant for many features of SIOD: growth retardation, T-cell immunodeficiency, progressive renal dysfunction, and recurrent nephrotic syndrome in association with hypertension and hyperlipidemia.
Source: Pediatric Neurology - March 22, 2017 Category: Neurology Authors: Debopam Samanta, Raghu Ramakrishnaiah Tags: Visual Diagnosis Source Type: research

MRI-visible perivascular space location is associated with Alzheimer's disease independently of amyloid burden
<span class="paragraphSection"><div class="boxTitle">Abstract</div>Perivascular spaces that are visible on magnetic resonance imaging (MRI) are a neuroimaging marker of cerebral small vessel disease. Their location may relate to the type of underlying small vessel pathology: those in the white matter centrum semi-ovale have been associated with cerebral amyloid angiopathy, while those in the basal ganglia have been associated with deep perforating artery arteriolosclerosis. As cerebral amyloid angiopathy is an almost invariable pathological finding in Alzheimer’s disease, we hypothesized that MRI-visibl...
Source: Brain - February 17, 2017 Category: Neurology Source Type: research

Critical Illness-Associated Cerebral Microbleeds Brief Report
Conclusions—We have described a distinct microbleed phenomenon in the cerebral white matter of patients with critical illness. The specific cause of the microbleeds is unclear, but the pathogenesis may involve hypoxemia as the microbleeds are similar to those described with high-altitude exposure.
Source: Stroke - March 27, 2017 Category: Neurology Authors: Evgenia M. Fanou, Jonathan M. Coutinho, Patrick Shannon, Tim-Rasmus Kiehl, Marcel M. Levi, M. Elizabeth Wilcox, Richard I. Aviv, Daniel M. Mandell Tags: Magnetic Resonance Imaging (MRI), Intracranial Hemorrhage Brief Reports Source Type: research

Moyamoya disease associated with kidney angiodysplasia in a child.
CONCLUSION: Moyamoya disease is a rare cause of stroke in children. Its association with renal angiodysplasia is unusual and may be responsible for malignant hypertension. Cognitive impairment and social dependence have recently been recognized as an important unresolved social issue. Affected children require medical-surgical, social, and psychological care. PMID: 28341559 [PubMed - as supplied by publisher]
Source: Archives de Pediatrie - March 21, 2017 Category: Pediatrics Authors: Dibi A, Maana Z, Jabourik F, Bentahila A Tags: Arch Pediatr Source Type: research

Cardiac imaging in patients with arterial hypertension.
Authors: Antonini-Canterin F, Leiballi E, Martinis F, Pavan D Abstract Hypertension is considered the major modifiable risk factor for premature cardiovascular disease, being more common than other important risk factors as cigarette smoking, dyslipidemia, or diabetes [1]. In older patients, systolic pressure and pulse pressure are more powerful determinants of cardiovascular events than diastolic pressure [2]. Importantly, the cardiovascular risk associated with hypertension is significantly affected by the presence or absence of other major risk factors [3]. Among imaging features, left ventricular hypertrophy (L...
Source: Minerva Cardioangiologica - April 12, 2017 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Diffuse Carotid Arteriosclerosis and Stroke in a Patient With Schimke Immuno-osseous Dysplasia
This four-year-old girl with Schimke immuno-osseous dysplasia (SIOD), caused by a loss of function mutation of the SMARCAL1 gene, presented with acute left hemiparesis. Her brain magnetic resonance imaging (MRI) revealed an acute ischemic infarction in the right hemisphere and narrowing of both internal carotid arteries (Fig 1A-C). She exhibited many features of SIOD: growth retardation, spondyloepiphyseal dysplasia (Fig 2), T-cell deficiency, progressive renal dysfunction, and recurrent nephrotic syndrome in association with hypertension and hyperlipidemia.
Source: Pediatric Neurology - March 22, 2017 Category: Neurology Authors: Debopam Samanta, Raghu Ramakrishnaiah Tags: Visual Diagnosis Source Type: research

A Rare Case of Central Nervous System Tuberculosis Presenting as Transient Splenial Lesion: Case Report and Literature Review (P1.320)
Conclusions:Based on literature review, the transient splenial lesion of corpus callosum has never been reported in patients with CNS tuberculosis. The mechanisms underlying transient splenial lesions may due to intramyelinic edema and inflammatory cell infiltration. This hypothesis supported by the MR spectroscopy findings in our patient. Since early diagnosis and treatment can reduce mortality and morbidity, patients with isolated splenial lesion warrant diagnostic tests for CNS tuberculosis.Study Supported by:The authors report no disclosures relevant to the manuscript.Disclosure: Dr. Wu has nothing to disclose. Dr. Che...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Wu, J.-W., Chen, S. Tags: Autoimmunity with Infection, Syphilis, Lyme, Tuberculosis, and other Bacteria Source Type: research

Cerebral Developmental Venous Anomaly —Does it Prevent Stroke in Acute Sinus Thrombosis?
This 14-year-old boy developed progressively severe headache for three  weeks followed by acute encephalopathy and signs of increased intracranial pressure with systemic hypertension and bradycardia. Computed tomography head showed a large right transverse/sigmoid sinus thrombus and obstructive hydrocephalus (Figure). He underwent an urgent external ventricular drain placement. Magnetic resonance imaging demonstrated a large right transverse/sigmoid sinus thrombus, large bilateral cerebellar developmental venous anomalies (DVAs), and obstructive hydrocephalus.
Source: Pediatric Neurology - March 31, 2017 Category: Neurology Authors: Ajay Goenka, William Gomes, Jules C. Beal Tags: Visual Diagnosis Source Type: research