Hipotensión nocturna y enfermedad cerebrovascular silente

the introduction of the techniques for the ambulatory monitoring of arterial pressure has allowed to obtain information about the day variations of arterial pressure. the pattern of accentuated dipper may have a specific causal relation to silent cerebrovascular disease and lesion of the white matter mediated by brain hypoperfusion. a case with lesions of the cerebral white matter without conventional vascular risk factors, was presented. the ambulatory monitoring of the arterial pressure showed a mild hypertension with an accentuated dipper pattern, a physiopathological condition susceptible to be modified. in the future, it seems that this technique will have a wider use in the cerebrovascular disease, specially in the lacunar and hemodynamic ictus, as well as in the chronic vascular lesions of the cerebral white matter.