Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Dec 28, 2017; 9(12): 448-453
Published online Dec 28, 2017. doi: 10.4329/wjr.v9.i12.448
Aggressive blood pressure treatment of hypertensive intracerebral hemorrhage may lead to global cerebral hypoperfusion: Case report and imaging perspective
Jose Gavito-Higuera, Rakesh Khatri, Ihtesham A Qureshi, Alberto Maud, Gustavo J Rodriguez
Jose Gavito-Higuera, Rakesh Khatri, Ihtesham A Qureshi, Alberto Maud, Gustavo J Rodriguez, Department of Neurology, Paul L. Foster School of Medicine, Texas Tech University of Health Sciences Center, El Paso, TX 79905, United States
Author contributions: All authors contributed equally.
Informed consent statement: Informed consent was obtained from the family of the patient for the purpose of publication.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rakesh Khatri, MD, Assistant Professor, Department of Neurology, Paul L. Foster School of Medicine, Texas Tech University of Health Sciences Center, 5001 El Paso Drive, El Paso, TX 79905, United States. rakesh.khatri@ttuhsc.edu
Telephone: +1-915-2155900 Fax: +1-915-5456705
Received: February 8, 2017
Peer-review started: February 12, 2017
First decision: May 17, 2017
Revised: August 22, 2017
Accepted: November 29, 2017
Article in press: November 29, 2017
Published online: December 28, 2017
Core Tip

Core tip: The current case report highlights the risk of aggressive management of acute hypertension in the setting of intracerebral hemorrhage causing global cerebral hypoperfusion, despite maintenance of cerebral perfusion pressure above the lower threshold of autoregulation. The authors suggest the use of accurate method to measure cerebral oxygenation, such as brain-tissue oxygen monitoring, which could help individualize aggressive blood pressure control in patients with acute hypertensive intracerebral hemorrhage.