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

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1381-1384
Number of pages4
JournalNeurology
Volume55
Issue number9
Publication statusPublished - Nov 14 2000

ASJC Scopus subject areas

  • Neuroscience(all)

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