[Thoughts on hypertensive encephalopathy after an atypical case]

Rev Med Suisse Romande. 1998 May;118(5):505-7.
[Article in French]


Nowadays hypertensive encephalopathy is rare. A patient of 49 with neurological symptoms that are not classical for this syndrome is presented. While treating the hypertension the neurological symptoms disappeared. The necessary condition for the development of this syndrome is a fast rise of arterial pressure that is followed by intra-cranial edema. The edema is incited by vasodilatation that appears at tensions above the limits of cerebral autoregulation. It is recommended to treat the patients in an intensive care unit. Without treatment the patient will die.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Brain Edema / diagnosis
  • Brain Edema / etiology*
  • Critical Care
  • Electroencephalography
  • Female
  • Homeostasis
  • Humans
  • Hypertension, Malignant / complications*
  • Hypertension, Malignant / diagnosis
  • Hypertension, Malignant / drug therapy
  • Magnetic Resonance Imaging
  • Middle Aged
  • Prognosis