A 29-year-old Woman with Recurrent Pregnancy-induced Hypertension Based on Vascular Compression of the Medulla Oblongata.
Jannetta's decompression surgery
intractable hypertension
medullary compression
non-dipper type
pregnancy-induced hypertension
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
01 Aug 2019
01 Aug 2019
Historique:
pubmed:
19
4
2019
medline:
18
12
2019
entrez:
19
4
2019
Statut:
ppublish
Résumé
We present a report of a 29-year-old woman with non-dipper type refractory hypertension due to the vascular compression of the medulla oblongata. The patient was diagnosed with hypertension at 17 years of age and underwent emergency Caesarean section at 26 weeks of gestation during 2 pregnancies due to severe high blood pressure. We suspected medullary compression by the curved posterior inferior cerebellar artery as the cause of her intractable hypertension, and she underwent Jannetta's decompression surgery. After the surgery, her blood pressure swiftly decreased to almost within the normal range, and her blood pressure pattern normalized to dipper type.
Identifiants
pubmed: 30996172
doi: 10.2169/internalmedicine.2382-18
pmc: PMC6709317
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2257-2261Références
Stroke. 1999 Aug;30(8):1707-10
pubmed: 10436125
Anadolu Kardiyol Derg. 2002 Mar;2(1):40-4, AXVII
pubmed: 12101793
J Am Soc Nephrol. 2004 Aug;15(8):1993-2001
pubmed: 15284285
AJNR Am J Neuroradiol. 2005 Mar;26(3):522-4
pubmed: 15760859
Neurosurgery. 2006 Jun;58(6):E1212; discussion E1212
pubmed: 16723872
Neurosurg Rev. 2006 Oct;29(4):265-9; discussion 269
pubmed: 16924459
Acta Neurol Taiwan. 2006 Sep;15(3):192-6
pubmed: 16995599
J Hum Hypertens. 2007 Feb;21(2):179-81
pubmed: 17136105
J Neurosurg. 2010 Aug;113(2):369-73
pubmed: 19911894
Int J Hypertens. 2011 Mar 02;2011:236239
pubmed: 21423678
J Neurosurg. 2012 Jan;116(1):147-56
pubmed: 21923244
J Clin Hypertens (Greenwich). 2011 Nov;13(11):818-20
pubmed: 22051426
Hypertens Res. 2012 Feb;35(2):132-41
pubmed: 22170390
JAMA. 2014 Jun 4;311(21):2216-24
pubmed: 24893089
World Neurosurg. 2017 Dec;108:994.e11-994.e19
pubmed: 28899835
AJNR Am J Neuroradiol. 1995 Feb;16(2):401-5
pubmed: 7726090