Aggressive blood pressure treatment of hypertensive intracerebral hemorrhage may lead to global cerebral hypoperfusion: Case report and imaging perspective

被引：43

作者：

Jose Gavito-Higuera ^{[1
]}

Rakesh Khatri ^{[1
]}

Ihtesham A Qureshi ^{[1
]}

Alberto Maud ^{[1
]}

Gustavo J Rodriguez ^{[1
]}

机构：

[1] Department of Neurology, Paul L. Foster School of Medicine, Texas Tech University of Health Sciences Center

来源：

World Journal of Radiology | 2017年 / 12期

关键词：

Intracranial hemorrhage; Neurocritial care; Stroke management; Perihematoma ischemia;

D O I：

暂无

中图分类号：

R445.2 [核磁共振成像]; R544.1 [高血压]; R743.34 [脑出血];

学科分类号：

1002 ; 100201 ; 100207 ;

摘要：

Hypoperfusion injury related to blood pressure decrease in acute hypertensive intracerebral hemorrhage continues to be a controversial topic. Aggressive treatment is provided with the intent to stop the ongoing bleeding. However, there may be additional factors, including autoregulation and increased intracranial pressure, that may limit this approach. We present here a case of acute hypertensive intracerebral hemorrhage, in which aggressive blood pressure management to levels within the normal range led to global cerebral ischemia within multiple border zones. Global cerebral ischemia may be of concern in the management of hypertensive hemorrhage in the presence of premorbid poorly controlled blood pressure and increased intracranial pressure.

引用

页码：448 / 453

页数：6

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