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

doi:10.2169/internalmedicine.2382-18

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 journal › Article › peer-review

2 Citations (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 language	English
Pages (from-to)	2257-2261
Number of pages	5
Journal	Internal Medicine
Volume	58
Issue number	15
DOIs	https://doi.org/10.2169/internalmedicine.2382-18
Publication status	Published - 2019

Keywords

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

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10.2169/internalmedicine.2382-18

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

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{\textquoteright}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.",

keywords = "Intractable hypertension, Jannetta{\textquoteright}s decompression surgery, Medullary compression, Non-dipper type, Pregnancy-induced hypertension",

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

note = "Funding Information: This work was supported by JSPS KAKENHI Grant Number JP 16K08487. Publisher Copyright: {\textcopyright} 2019 The Japanese Society of Internal Medicine.",

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AU - Akaishi, Tetsuya

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AU - Abe, Michiaki

AU - Okuda, Hiroshi

AU - Ishizawa, Kota

AU - Endo, Toshiki

AU - Miyata, Masahiro

AU - Nakayama, Keisuke

AU - Ito, Sadayoshi

AU - Tominaga, Teiji

AU - Ishii, Tadashi

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AB - 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.

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

Abstract

Keywords

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