Efficacy of clonidine in a patient with refractory hypertension and chronic renal failure exhibiting neurovascular compression of the rostral ventrolateral medulla

Hypertension Research

Volumn 32, Issue 3, 2009, Pages 227-228

  Morimoto, Satoshi ^a   Aota, Yasuko ^a   Sakuma, Takao ^a   Ichibangase, Akira ^b   Ikeda, Koshi ^a   Sawada, Satoshi ^a   Iwasaka, Toshiji ^a  

^a KANSAI MEDICAL UNIVERSITY   (Japan)

^b Komatsu Hospital   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIHYPERTENSIVE AGENT; AZOSEMIDE; CARBEZIROL; CLONIDINE; CREATINE; DOXAZOSIN; FUROSEMIDE; HEMOGLOBIN A1C; NIFEDIPINE; NORADRENALIN; OLMESARTAN; UNCLASSIFIED DRUG;

ADULT; BLOOD PRESSURE MEASUREMENT; BRAIN STEM INJURY; CASE REPORT; CHRONIC KIDNEY FAILURE; CREATININE BLOOD LEVEL; DRUG EFFICACY; DRUG TREATMENT FAILURE; ECHOCARDIOGRAPHY; ESSENTIAL HYPERTENSION; HEART LEFT VENTRICLE HYPERTROPHY; HUMAN; LETTER; MALE; MEDULLA OBLONGATA; NEUROVASCULAR SYNDROME; NUCLEAR MAGNETIC RESONANCE IMAGING; PROTEIN URINE LEVEL; ROSTRAL VENTROLATERAL MEDULLA; UREA NITROGEN BLOOD LEVEL;

ANTIHYPERTENSIVE AGENTS; BLOOD PRESSURE; CLONIDINE; CREATININE; DRUG RESISTANCE; HUMANS; HYPERTENSION; KIDNEY FAILURE, CHRONIC; MAGNETIC RESONANCE IMAGING; MALE; MEDULLA OBLONGATA; MIDDLE AGED; NERVE COMPRESSION SYNDROMES;

EID: 68249136992     PISSN: 09169636     EISSN: 13484214     Source Type: Journal    
DOI: 10.1038/hr.2009.1     Document Type: Letter

References (9)

1. Dampney RA, Goodchild AK, Robertson LG, Montgomery W. Role of ventrolateral medulla in vasomotor regulation: A correlative anatomical and physiological study. Brain Res Rev 1982; 249: 223-235.
2. Jannetta PJ, Segal R, Wolfson SK. Neurogenic hypertension: Etiology and surgical treatment. I. Observations in 53 patients. Ann Surg 1985; 201: 391-398.
3. Morimoto S, Sasaki S, Miki S, Kawa T, Itoh H, Nakata T, Takeda K, Nakagawa M, Kizu O, Furuya S, Naruse S, Maeda T. Neurovascular compression of the rostral ventrolateral medulla related to essential hypertension. Hypertension 1997; 30 (Part 1): 77-82.
4. Morimoto S, Sasaki S, Takeda K, Furuya S, Naruse S, Matsumoto K, Higuchi T, Saito M, Nakagawa M. Decreases in blood pressure and sympathetic nerve activity by microvascular decompression of the rostral ventrolateral medulla in essential hypertension. Stroke 1999; 30: 1707-1710.
5. Morimoto S, Sasaki S, Itoh H, Nakata T, Takeda K, Nakagawa M, Furuya S, Naruse S, Fukuyama R, Fushiki S. Sympathetic activation and contribution of genetic factors in hypertension with neurovascular compression of the rostral ventrolateral medulla. J Hypertens 1999; 17: 1577-1582.
6. Makino Y, Kawano Y, Okuda N, Horio T, Iwashima Y, Yamada N, Takayama M, Takishita S. Autonomic function in hypertensive patients with neurovascular compression of the ventrolateral medulla oblongata. J Hypertens 1999; 17: 1257-1263.
7. Sendeski MM, Consolim-Colombo FM, Leite CC, Ribira MC, Lessa P, Krieger EM. Increased sympathetic nerve activity correlates with neurovascular compression at the rostral ventrolateral medulla. Hypertension 2006; 47: 988-995.
8. Bakris GL, Williams M, Dworkin L, Elliott WJ, Epstein M, Toro R, Tuttle K, Douglas J, Hsueh W, Sowers J. Preserving renal function in adults with hypertension and diabetes: A consensus approach. Am J Kidney Dis 2000; 36: 646-661.
9. Ruffolo Jr RR, Nichols AJ, Stadel JM, Hieble JP. Pharmacologic and therapeutic applications of 2-adrenoceptor subtypes. Annu Rev Pharmacol Toxicol 1993; 33: 243-279.