NEUROVASCULAR

COMPRESSION

 

 

ARTERIAL HYPERTENSION

 

 

 

High blood pressure is prevalent in about 10% of the population. Over 80% of these patients suffer from the so-called essential hypertension, having no clear etiology of their disease.  Longstanding hypertension causes arteriosclerosis, stroke and heart attack. Therefore many patients depend on live long medication.

It is known that the central nervous system plays a major role in regulating the blood pressure. Newest findings frequently show in patients with arterial hypertension contacts between vessels and cranial nerves IX & X like neurovascular compression at the ventrolateral medulla.

These contacts were removed in a certain number of patients - microvascular decompression - and led not only to a lowering of the blood pressure but also in some cases to complete normalization. We can therefore assume a association between neurovascular compression and the essential hypertension.

This association is being investigated in a cooperative scientific study of the department of neurosurgery and the medical clinic IV - nephrology of the University Erlangen-Nuremberg. A neurovascular compression at the brain stem in arterial hypertension can be easily proven by high resolution MRI. In selected cases resistant to medical therapy microvascular compression can be taken into consideration.

 

 

 

 

 

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R. NARAGHI