La RM è la metodica diagnostica d'elezione nello studio dei conflitti neurovascolari. Vi sono numerose indicazioni che pongono alla base dell'ipertensione essenziale la compressione della superficie anterolaterale sinistra dell'oblongata da parte di strutture vascolari arteriose.
Allo scopo di verificare questa ipotesi abbiamo esaminato 15 pazienti ipertesi mediante RM, utilizzando sequenze F.L.A.SH.-3D, che si sono dimostrate le più idonee a mostrare tali alterazioni.
AkimuraTFurutaniY: Essential hypertension and neurovascular compression at the ventrolateral medulla oblongata: MR evaluation. Am J Neuroradiol16: 401–405, 1995.
JannettaPJSegalR: Neurogenic hypertension: Etiology and surgical treatment. I. Observations in 53 patients. Ann Surg201: 391–398, 1985.
4.
JannettaPJSegalR: Neurogenic hypertension: Etiology and surgical treatment. II. Observations in an nonhuman primate model. Ann Surg202:253–261, 1985.
5.
KazuiSKuruyamaY: Estimation of vertebral asymmetry by computed tomography. Neuroradiology31: 237–239, 1989.
6.
KleinebergBBeckerHGaabMR: Neurovascular compression and essential hypertension. An angiographic study. Neuroradiology33: 2–8, 1991.
7.
MeaneyJFMMilesJB: Vascular contact with the fifth cranial nerve at the pons in patients with trigeminal neuralgia: Detection with 3D FISP imaging. Am J Radiol163: 1447–1452, 1994.
8.
NaraghiRGaabMRWalterGF: Neurovascular compression as an etiology of essential hypertension. A microanatomical study. In: Advances in neurosurgery. 39th annual meeting of the German neurosurgical society, Cologne 1988.
