{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:46:31Z","timestamp":1777416391820,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1989,3,1]],"date-time":"1989-03-01T00:00:00Z","timestamp":604713600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["DICP"],"published-print":{"date-parts":[[1989,3]]},"abstract":"<jats:p>A 63-year-old white male with a 25-year history of hypertension experienced the onset of intermittent diplopia and gait disturbance 24 hours after a change in antihypertensive medication from atenolol 50 mg\/d to enalapril 5 mg bid. Three weeks later, the patient was admitted with a worsening of symptoms. Cerebral arteriography revealed significant bilateral vertebral artery stenosis. Symptoms continued to progress in the hospital, and at the time of posterior circulation revascularization the patient had a persistent bilateral internuclear ophthalmoplegia and right ptosis. The need for a neurovascular workup and adjustment of therapy in patients with antihypertensive-associated cerebral ischemia is discussed.<\/jats:p>","DOI":"10.1177\/106002808902300310","type":"journal-article","created":{"date-parts":[[2017,5,30]],"date-time":"2017-05-30T06:14:40Z","timestamp":1496124880000},"page":"238-239","source":"Crossref","is-referenced-by-count":3,"title":["Hemodynamic Vertebrobasilar Insufficiency as an Adverse Effect of Antihypertensive Therapy"],"prefix":"10.1177","volume":"23","author":[{"given":"Susan C.","family":"Fagan","sequence":"first","affiliation":[{"name":"College of Pharmacy and Allied Health Professions, Wayne State University, Detroit, MI 48202, and Departments of Pharmacy and Neurology, Henry Ford Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick W.","family":"Mccormick","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Henry Ford Hospital, Detroit, MI."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando G.","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Henry Ford Hospital, Detroit, MI."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,5,30]]},"reference":[{"key":"bibr1-106002808902300310","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(85)91783-0"},{"key":"bibr2-106002808902300310","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(76)91970-X"},{"key":"bibr3-106002808902300310","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.12.3.353"},{"key":"bibr4-106002808902300310","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.53.4.720"}],"container-title":["DICP"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/106002808902300310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/106002808902300310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:02:07Z","timestamp":1777374127000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/106002808902300310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,3]]},"references-count":4,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1989,3]]}},"alternative-id":["10.1177\/106002808902300310"],"URL":"https:\/\/doi.org\/10.1177\/106002808902300310","relation":{},"ISSN":["1042-9611"],"issn-type":[{"value":"1042-9611","type":"print"}],"subject":[],"published":{"date-parts":[[1989,3]]}}}