Hypertensive encephalopathy in a patient with unconsciousness
A case report
Keywords:
hypertensive encephalopathy, seizure, unconsciousnessAbstract
Hypertensive encephalopathy (HE) is characterized by acute onset severe arterial hypertension associated with confusion, headache, seizure and even unconsciousness. It is usually reversible but any delay in recognition and treatment can be life threatening. Typical abnormality in MRI is increased intensity in both occipital white matter areas indicative of edema. Differentials can be ischaemic stroke, ICH, Tumor, acute toxic metabolic encephalopathy. We here describe a patient with no history but admitted with hypertension and loss of consciousness and had several seizures. She recovered with appropriate treatment for hypertension.
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References
Potter T, Schaefer TJ. (2020). Hypertensive Encephalopathy.
Armstead WM. (2016). Cerebral blood flow autoregulation and dysautoregulation. Anesthesiology clinics, 34(3):465-77.
Wajngarten M, Silva GS. (2019). Hypertension and stroke: update on treatment. European Cardiology Review, 14(2): 111.
Miller JB, Suchdev K, Jayaprakash N, Hrabec D, Sood A, Sharma S, Levy PD. (2018). New developments in hypertensive encephalopathy. Current hypertension reports. 20:1-7.
Alley WD, Schick MA. (2017). Hypertensive Emergency.
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