ArticleActa neurochirurgica2024
Lateral medullary vascular compression manifesting as paroxysmal hypertension.
Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 2 citations in OpenAlex.
- Neurovascular compression of the left rostral ventrolateral medulla is not associated with arterial hypertension in a population-based MRI study in Germany.Neuroradiology · 2026Article
- Severe neurovascular hypertension in a 17-year-old girl cured by microvascular decompression.Journal of hypertension · 2025Article
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9 authors at 1 institution in 1 country.
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Abstract
Neurovascular compression of the rostral ventrolateral medulla (RVLM) has been described as a possible cause of refractory essential hypertension. We present the case of a patient affected by episodes of severe paroxysmal hypertension, some episodes associated with vago-glossopharyngeal neuralgia. Classical secondary forms of hypertension were excluded. Imaging revealed a neurovascular conflict between the posterior inferior cerebellar artery (PICA) and the ventrolateral medulla at the level of the root entry zone of the ninth and tenth cranial nerves (CN IX-X REZ). A MVD of a conflict between the PICA and the RVLM and adjacent CN IX-X REZ was performed, resulting in reduction of the frequency and severity of the episodes. Brain MRI should be performed in cases of paroxysmal hypertension. MVD can be considered in selected patients.
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