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Thomas A. Albini, MD; Rohit R. Lakhanpal, MD; Rod Foroozan, MD; George A. Lopez, MD, PhD; Alice R. McPherson, MD

Arch Ophthalmol. 2006;124:1784-1786.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In hypertensive encephalopathy, brain magnetic resonance imaging characteristically shows a posterior leukoencephalopathy that predominantly affects the white matter of the parieto-occipital regions.¹ Brainstem hypertensive encephalopathy predominantly affects the brainstem and cerebellum while sparing the parieto-occipital region and has not been documented in the ophthalmologic literature.

Report of a Case

A 46-year-old white woman described intermittent nausea, daily headaches, and a central scotoma in the right eye for approximately 1 week following blunt trauma to the face. Visual acuity was 20/200 OD and 20/40 OS. Pupils were brisk without an afferent pupillary defect. The anterior segments and intraocular pressures were normal. Funduscopy of the right eye revealed marked optic disc edema and diffuse intraretinal exudate involving the fovea (Figure 1). The retinal vessels were tortuous with marked arteriolar constriction. Numerous areas of linear . . . [Full Text of this Article]

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