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Primary medullary hypertensive hemorrhage

Departments of Pathology Drs. Neumann and Horoupian) and Neurology (Dr. Mehler). Albert Einstein College of Medicine, and Bronx Municipal Hospital Center, The Bronx, NY.

A 33-year-old man with untreated hypertension had sudden onset of signs and symptoms suggestive of a dorsal lateral medullary syndrome. He died after 27 days. Postmortem studies revealed intramedullary hemorrhage with extension into the fourth ventricle and hypertensive cardiovascular disease.

Address correspondence and reprint requests to Dr. Horoupian, Department of Pathology, Albert Einstein College of Medicine. 1300 Morris Park Avenue, The Bronx, NY 10461.

Presented in part at the thirty-sixth annual meeting of the American Academy of Neurology, Boston, MA, April 1984.

Accepted for publication October 12, 1984.

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