RESUMEN
Posterior reversible encephalopathy syndrome caused by hypertension is well recognized with magnetic resonance imaging. We report a patient in whom posterior reversible encephalopathy syndrome involved just the brainstem, caused a pontine stroke, and subsequently both clinically and radiologically improved with antihypertensive therapy.
Asunto(s)
Antihipertensivos/uso terapéutico , Edema Encefálico/complicaciones , Tronco Encefálico/patología , Hipertensión/complicaciones , Síndrome de Leucoencefalopatía Posterior/complicaciones , Accidente Cerebrovascular/etiología , Adulto , Edema Encefálico/tratamiento farmacológico , Edema Encefálico/etiología , Edema Encefálico/patología , Humanos , Hipertensión/tratamiento farmacológico , Hipertensión/patología , Imagen por Resonancia Magnética , Masculino , Puente/patología , Síndrome de Leucoencefalopatía Posterior/tratamiento farmacológico , Síndrome de Leucoencefalopatía Posterior/etiología , Síndrome de Leucoencefalopatía Posterior/patología , Accidente Cerebrovascular/tratamiento farmacológico , Accidente Cerebrovascular/patología , Resultado del TratamientoRESUMEN
The authors describe a rare case of internal carotid artery (ICA) trifurcation aneurysm and its surgical management. Carotid trifurcation is a unique anatomical variant where three arterial branches arise from the carotid termination than the usual two. Aneurysm arising from the trifurcation, due to its rarity, is difficult to treat. The anatomy, embryological basis and significance of such an anomaly during surgical management are discussed.