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Hypertension, hyperekplexia, and pyramidal paresis due to vascular compression of the medulla.

作者信息

Salvi F, Mascalchi M, Bortolotti C, Meletti S, Plasmati R, Rubboli G, Stecchi S, Villari N, Calbucci F, Tassinari C A

机构信息

Dipartimento di Neuroscienze, Università di Bologna, Ospedale Bellaria, Italy.

出版信息

Neurology. 2000 Nov 14;55(9):1381-4. doi: 10.1212/wnl.55.9.1381.

DOI:10.1212/wnl.55.9.1381
PMID:11087786
Abstract

MRI showed impingement of the vertebral artery on the left lateral medulla in two patients with arterial hypertension, exaggerated startle reflexes (hyperekplexia), and progressive spastic paresis. One patient underwent microvascular decompression with normalization of arterial hypertension, disappearance of hyperekplexia, and improvement of spastic paresis. The combination of arterial hypertension, hyperekplexia, and progressive spastic paresis should arouse suspicion of neurovascular compression of the lateral medulla.

摘要

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