RT Journal
A1 MONTGOMERY BM
T1 THe basilar artery hypertensive syndrome
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1961
FD October 1
VO 108
IS 4
SP 559
OP 569
DO 10.1001/archinte.1961.03620100051007
UL http://dx.doi.org/10.1001/archinte.1961.03620100051007
AB 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