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In my opinion, it merely underlines the more or less accepted role of edema. The pathogenesis of hypertensive encephalopathy warrants more study, despite some excellent work in the past <a id="xref-ref-3-1" class="xref-bibr" href="#ref-3">(3, 4)</a>. Futhermore, I would like to emphasize the life-threatening nature of hypertensive encephalopathy, especially if brain stem edema is present. Treatment is available, however, and it is well tolerated <a id="xref-ref-2-1" class="xref-bibr" href="#ref-2">(2)</a>. Because of this, the clinician must be informed of the MR findings as soon as possible. Lastly, in order to maintain a uniform nomenclature it might have been preferable to refer to the described entity as “hypertensive encephalopathy” not only in the text but in the title of their article as well.</p></div><div class="section ref-list" id="ref-list-1"><h2>References</h2><ol class="cit-list"><li><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1 in text" id="ref-1">↵</a><div class="cit ref-cit ref-other" id="cit-21.9.1767.1"><div class="cit-metadata"><cite>de Seze J,  Mastain B,  Stojkovic T,  Ferriby D,   et al.  <strong>Unusual MR Findings of the Brain Stem in Arterial Hypertension.</strong> <span class="cit-source">AJNR Am J Neuroradiol</span> <span class="cit-pub-date">2000</span>;<span class="cit-vol">21</span>:<span class="cit-fpage">391</span>-394</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo4OiIyMS8yLzM5MSI7czo0OiJhdG9tIjtzOjIwOiIvYWpuci8yMS85LzE3NjcuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span><span class="cit-sep cit-reflinks-variant-name-sep">/</span><span class="cit-reflinks-full-text"><span class="free-full-text">FREE </span>Full Text</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2 in text" id="ref-2">↵</a><div class="cit ref-cit ref-other" id="cit-21.9.1767.2"><div class="cit-metadata"><cite>Colon AJ.   <strong>Considérations sur l'Encéphalopathie Hypertensive d'après un cas atypi que.</strong> <span class="cit-source">Rev med Suisse Rom</span> <span class="cit-pub-date">1998</span>;<span class="cit-vol">118</span>:<span class="cit-fpage">505</span>-507</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=9673499&amp;link_type=MED&amp;atom=%2Fajnr%2F21%2F9%2F1767.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-3-1" title="View reference 3 in text" id="ref-3">↵</a><div class="cit ref-cit ref-other" id="cit-21.9.1767.3"><div class="cit-metadata"><cite>Auer LM.   <strong>The Pathogenesis of Hypertensive Encephalopathy.</strong> <span class="cit-source">Acta Neuroch</span> <span class="cit-pub-date">1978</span>;<span class="cit-vol">27</span>:<span class="cit-fpage">1</span>-111</cite></div><div class="cit-extra"></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-21.9.1767.4"><div class="cit-metadata"><cite>Kontos HA,  Wei EP,  Dietrich WD,   et al.  <strong>Mechanisms of Cerebral Arteriolar Abnormalities after Acute Hypertension.</strong> <span class="cit-source">Am J Physiol</span> <span class="cit-pub-date">1981</span>;<span class="cit-vol">240</span>:<span class="cit-fpage">H511</span>-H527</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6ODoiYWpwaGVhcnQiO3M6NToicmVzaWQiO3M6MTA6IjI0MC80L0g1MTEiO3M6NDoiYXRvbSI7czoyMDoiL2FqbnIvMjEvOS8xNzY3LmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span><span class="cit-sep cit-reflinks-variant-name-sep">/</span><span class="cit-reflinks-full-text"><span class="free-full-text">FREE </span>Full Text</span></span></a></div></div></li></ol></div><ul class="copyright-statement"><li class="fn" id="copyright-statement-1">Copyright © American Society of Neuroradiology</li></ul><span class="highwire-journal-article-marker-end"></span></div><span class="related-urls"></span></div></div>  </div>

  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 21</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 9 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Oct 2000 </div></div>
      
      
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Oct 2000, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">21 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(9) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1767; </span></div>
  
  
  
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Oct 2000, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">21 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(9) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1767; </span></div>
  
  
  
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