Copyright © 2006 American Medical Association. All rights reserved. From: Retinopathy and Choroidopathy as the Initial Signs of Hypertensive Brainstem Encephalopathy Arch Ophthalmol. 2006;124(12):1784-1786. doi:10.1001/archopht.124.12.1784 Figure Legend: Fundus photography and fluorescein angiogram on initial examination. A, Fundus photography of the right eye showed marked optic disc edema, splinter hemorrhages, and haziness of the retinal vessels at the disc margins. Surrounding the nerve head, there were subretinal fluid, diffuse intraretinal exudate involving the fovea, a single nerve fiber layer infarct, and intraretinal hemorrhages. B, Fundus photography of the left eye showed marked optic disc edema with radial exudates surrounding, but not involving, the fovea. C, Peripheral fundus photography of the right eye shows an area of linear retinal pigment epithelium hypertrophy with surrounding choroidal hypopigmentation consistent with a Siegrist streak, a characteristic finding in hypertensive choroidopathy. D, Fluorescein angiography of the right eye confirmed focal arteriolar narrowing and revealed areas of macular capillary nonperfusion, microaneurysms, and occasional arteriolar obstruction. Date of download: 12/26/2017 Copyright © 2006 American Medical Association. All rights reserved.

Copyright © 2006 American Medical Association. All rights reserved. From: Retinopathy and Choroidopathy as the Initial Signs of Hypertensive Brainstem Encephalopathy Arch Ophthalmol. 2006;124(12):1784-1786. doi:10.1001/archopht.124.12.1784 Figure Legend: Magnetic resonance imaging findings of hypertensive brainstem encephalopathy. A, Axial T2-weighted image on initial examination shows abnormal signal and enlargement of the pons consistent with edema. B, Axial T2-weighted image 8 days later, after blood pressure was controlled, shows improvement of abnormal signal and decreased enlargement of the pons. Date of download: 12/26/2017 Copyright © 2006 American Medical Association. All rights reserved.