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Research ArticleBRAIN

Unusual MR Findings of the Brain Stem in Arterial Hypertension

Jérôme de Seze, Bruno Mastain, Tanya Stojkovic, Didier Ferriby, Jean Pierre Pruvo, Alain Destée and Patrick Vermersch
American Journal of Neuroradiology February 2000, 21 (2) 391-394;
Jérôme de Seze
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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Bruno Mastain
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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Tanya Stojkovic
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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Didier Ferriby
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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Jean Pierre Pruvo
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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Alain Destée
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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Patrick Vermersch
aFrom the Departments of Neurology and Neuroradiology, Hôpital R. Salengro, Lille, France.
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    fig 1.

    Images of a 41-year-old man who presented with blurred vision and headache. The fast-FLAIR imaging parameters were as follows: 9000/119/1 (TR/TE/excitations); acquisition time, 3 min 27 s; field of view, 175 × 280; matrix, 154 × 256. The T1-weighted imaging parameters were as follows: 540/12/1; acquisition time, 2 min 39 s; field of view, 188 × 250; matrix, 144 × 256.

    A, Fast-FLAIR image shows an extensive brain stem lesion.

    B, Fast-FLAIR image shows that the lesion dramatically improved after surgical treatment of pheochromocytoma.

    C, Fast-FLAIR image shows periventricular hyperintensities.

    D, Fast-FLAIR image shows that the periventricular hyperintensities also totally resolved after surgery.

    E, T1-weighted image shows that the pons was swollen at the begining of the symptoms.

    F, T1-weighted image shows that the pons returned to normal size and configuration after surgery.

  • fig 2.
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    fig 2.

    Images of a 52-year-old woman who presented with progressive headaches.

    A, Fast-FLAIR image shows a brain stem lesion (left) and that the brain stem lesion resolved after treatment for hypertension (right).

    B, Fast-FLAIR image shows periventricular hyperintensities (left) and that the periventricular hyperintensities decreased considerably after treatment (right).

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American Journal of Neuroradiology
Vol. 21, Issue 2
1 Feb 2000
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Unusual MR Findings of the Brain Stem in Arterial Hypertension
Jérôme de Seze, Bruno Mastain, Tanya Stojkovic, Didier Ferriby, Jean Pierre Pruvo, Alain Destée, Patrick Vermersch
American Journal of Neuroradiology Feb 2000, 21 (2) 391-394;

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Unusual MR Findings of the Brain Stem in Arterial Hypertension
Jérôme de Seze, Bruno Mastain, Tanya Stojkovic, Didier Ferriby, Jean Pierre Pruvo, Alain Destée, Patrick Vermersch
American Journal of Neuroradiology Feb 2000, 21 (2) 391-394;
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