Nyúltveloi neurovascularis kompresszió mint a rezisztens hypertonia egyik oka - Gondolatok egy betegünk kapcsán

Translated title of the contribution: Neurovascular compression in the medulla oblongata as a cause of resistant hypertension - Thoughts apropos of a patient

Kováts László, Bretus Angelika, Csutak Kinga, Nagy Gyöngyi, B. Gasztonyi

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - The vasomotor centre, the central regulator of the cardiovascular system, is localised in the rostral ventrolateral medulla oblongata. Irritation of this area and/or of the ninth and tenth cranial nerves (that are involved both in the afferent and efferent pathways of the baroreceptor reflex) causes sympathetic hyperactivity, which in some cases leads to severe resistant hypertension. A common underlying cause of this is pulsatile neurovascular compression, a vascular malformation rarely sought for. CASE REPORT - The authors present the case of a middle-aged woman with what had been considered "essential" hypertension. Magnetic resonance angiography showed vascular compression of the medulla oblongata and the departing left ninth and tenth cranial nerves as the cause of her hypertension. CONCLUSIONS - After a literature review the authors draw the attention to this rarely identified cause of resistant hypertension and to the difficulties of its diagnosis.

Original languageHungarian
Pages (from-to)791-795
Number of pages5
JournalLege Artis Medicinae
Volume17
Issue number11
Publication statusPublished - Nov 2007

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Medulla Oblongata
Glossopharyngeal Nerve
Vagus Nerve
Hypertension
Afferent Pathways
Efferent Pathways
Vascular Malformations
Baroreflex
Magnetic Resonance Angiography
Cardiovascular System
Blood Vessels

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Nyúltveloi neurovascularis kompresszió mint a rezisztens hypertonia egyik oka - Gondolatok egy betegünk kapcsán. / László, Kováts; Angelika, Bretus; Kinga, Csutak; Gyöngyi, Nagy; Gasztonyi, B.

In: Lege Artis Medicinae, Vol. 17, No. 11, 11.2007, p. 791-795.

Research output: Contribution to journalArticle

László, Kováts ; Angelika, Bretus ; Kinga, Csutak ; Gyöngyi, Nagy ; Gasztonyi, B. / Nyúltveloi neurovascularis kompresszió mint a rezisztens hypertonia egyik oka - Gondolatok egy betegünk kapcsán. In: Lege Artis Medicinae. 2007 ; Vol. 17, No. 11. pp. 791-795.
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