Hypertensive encephalopathy

This 23 year old woman had acute severe arterial hypertension, in association with administration of cyclosporine. Bilateral temporal and occipital lesions are seen on T2 weighted MR, and with gadolinium -enhanced T1 weighted MR. Roentgen-ray CT is abnormal, but less clear. Early perfusion abnormalities are apparent at higher levels. These show some enhancement at the later time point.
Some details have been altered to protect confidentiality.
Keith A. Johnson (keith@bwh.harvard.edu), J. Alex Becker (jabecker@mit.edu)