A 29-year-old woman with recurrent pregnancy-induced hypertension based on vascular compression of the medulla oblongata

Tetsuya Akaishi, Hideyasu Kiyomoto, Michiaki Abe, Hiroshi Okuda, Kota Ishizawa, Toshiki Endo, Masahiro Miyata, Keisuke Nakayama, Sadayoshi Ito, Teiji Tominaga, Tadashi Ishii

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

We present a report of a 29-year-old woman with non-dipper type refractory hypertension due to the vascular compression of the medulla oblongata. The patient was diagnosed with hypertension at 17 years of age and underwent emergency Caesarean section at 26 weeks of gestation during 2 pregnancies due to severe high blood pressure. We suspected medullary compression by the curved posterior inferior cerebellar artery as the cause of her intractable hypertension, and she underwent Jannetta’s decompression surgery. After the surgery, her blood pressure swiftly decreased to almost within the normal range, and her blood pressure pattern normalized to dipper type.

Original languageEnglish
Pages (from-to)2257-2261
Number of pages5
JournalInternal Medicine
Volume58
Issue number15
DOIs
Publication statusPublished - 2019

Keywords

  • Intractable hypertension
  • Jannetta’s decompression surgery
  • Medullary compression
  • Non-dipper type
  • Pregnancy-induced hypertension

ASJC Scopus subject areas

  • Internal Medicine

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