Cor Vasa 2003, 44(12):596-599
Surgical treatment of neurogenic hypertension
- 1 Neurochirurgická klinika, 1. lékařská fakulta Univerzity Karlovy, Institut pro další vzdělávání pracovníků ve zdravotnictví
- 2 I. interní oddělení, Ústřední vojenská nemocnice, Praha, Česká republika
The authors present the case of successful surgical treatment of pharmacologically resistant essential (neurogenic) hypertension. The decision for surgical treatment was based on exclusion of other possible causes of hypertension, MRI visualization of vascular compression of the ventrolateral medulla oblongata on the left side caused by the vertebral artery, and other predisposing anatomical factors in a patient with congenital anomaly of the cranio-cervical junction (basilar impression). The surgical approach was modified specifically for this kind of procedure. This case supports the hypothesis that the high frequency of primary hypertension in the population is partially due to vascular compression of the medulla oblongata close to the anatomical structures related to the blood pressure control system. Still, evidence of vascular compression is not sufficient for indicating surgical treatment.
Keywords: Neurogenic hypertension; Neurovascular conflict; Low posterior fossa; Surgical treatment
Published: December 1, 2003 Show citation