Neurogenic hypertension: etiology and surgical treatment. I. Observations in 53 patients.

摘要: Although an extensive literature exists concerning essential arterial hypertension, the primary etiology has been unclear. Arterial compression of left lateral medulla oblongata by looping arteries base brain was seen incidently in 51 53 hypertensive patients who underwent retromastoid craniectomy and microvascular decompression for unrelated cranial nerve dysfunctions. Such not noted normotensive patients. Treatment vascular performed 42 Relief hypertension 32 improvement four. Arteriosclerosis ectasia contribute to elongation looping. If pulsatile occurs, may develop as a consequence imbalance neural control systems that normally regulate blood pressure. The further elongation, providing vicious circle pathophysiologic changes.