Journal of Clinical Case Reports

Young Goo Kim

Publications

• Case Report
  Hypertensive Brainstem Encephalopathy Mimicking Peritumoral Edema after Gamma Knife Radiosurgery for Cerebellopontine Angle Meningioma: A Case Report
  Author(s): Young Goo Kim, Won Seok Chang, Hyun Ho Jung, Jin Woo Chang and Yong Gou ParkYoung Goo Kim, Won Seok Chang, Hyun Ho Jung, Jin Woo Chang and Yong Gou Park
  
  An 83-year-old man presented with hypertensive brainstem encephalopathy manifesting as general weakness, dysarthria, gait disturbance, urinary incontinence, and decreased cognitive function. The patient had a history of gamma knife radiosurgery (GKR) for cerebellopontine angle (CPA) meningioma 10 years prior. Compared with previous magnetic resonance (MR) imaging results, a recent MR image revealed massive brainstem hyperintensity in T2-weighted images, not in the parieto-occipital lobes. The lesions were nearly completely resolved several days after normalization of the blood pressure. Isolated hypertensive brainstem encephalopathy without concomitant typical parieto-occipital abnormalities are unusual and the diagnosis is challenging especially after gamma knife radiosurgery for cerebellopontine angle meningioma. We describe a patient with hypertensive brainstem encephalopathy that .. Read More»
  DOI: 10.4172/2165-7920.10001087

  Abstract PDF