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October 1961

The Basilar Artery Hypertensive Syndrome

Author Affiliations


Clinical Instructor in Medicine.; From the Department of Medicine, Medical College of Georgia, Augusta, Ga.

Arch Intern Med. 1961;108(4):559-569. doi:10.1001/archinte.1961.03620100051007

This presentation has 3 aims: (1) to outline case reports which seem to contribute to certain concepts of neurogenic hypertension; (2) to discuss 2 implications of these reports, (a) that "focal ischemia" in strategic areas of the brain can cause hypertension and (b) that paroxysmal hypertension may occur as part of the clinical picture of the syndrome of basilar artery insufficiency, and (3) to review pertinent areas of the literature. Three patients have been observed in whom abrupt increases in arterial blood pressure were closely related to the fleeting neurologic phenomena characteristic of intermittent ischemia of those parts of the brain supplied by the vertebral-basilar arterial system. While the number of cases is small, the number of episodes was large.

Report of Cases 

Case 1.—  A 67-year-old white woman, was followed over a period of 2 1/2 years. In the earlier phases of her illness she was seen on about

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