Hypertensive encephalopathy
| Hypertensive encephalopathy | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Headache, nausea, vomiting, confusion, seizures, visual disturbances |
| Complications | Cerebral edema, intracranial hemorrhage |
| Onset | Sudden |
| Duration | Variable, depending on treatment |
| Types | N/A |
| Causes | Severe hypertension |
| Risks | Chronic hypertension, renal disease, preeclampsia |
| Diagnosis | Clinical diagnosis, brain imaging |
| Differential diagnosis | Stroke, intracranial hemorrhage, meningitis, encephalitis |
| Prevention | N/A |
| Treatment | Antihypertensive therapy, supportive care |
| Medication | N/A |
| Prognosis | Good with prompt treatment |
| Frequency | Rare |
| Deaths | N/A |
Hypertensive Encephalopathy is a medical condition characterized by a sudden increase in blood pressure, leading to brain dysfunction. This condition is often associated with hypertension, and it is considered a medical emergency that requires immediate attention.
Symptoms
The symptoms of hypertensive encephalopathy can vary, but they often include headache, nausea, vomiting, confusion, seizures, and in severe cases, coma. These symptoms are often accompanied by high blood pressure readings.
Causes
Hypertensive encephalopathy is typically caused by a sudden increase in blood pressure. This can occur in individuals with chronic hypertension who have a sudden and severe increase in their blood pressure, or in individuals who have a sudden onset of high blood pressure due to a medical condition such as pheochromocytoma or renal artery stenosis.
Diagnosis
The diagnosis of hypertensive encephalopathy is typically made based on the presence of high blood pressure and neurological symptoms. Additional tests, such as a CT scan or MRI of the brain, may be performed to rule out other causes of the symptoms.
Treatment
The treatment of hypertensive encephalopathy involves lowering the blood pressure to prevent further damage to the brain. This is typically achieved with the use of antihypertensive medications. In severe cases, hospitalization may be required.
Prognosis
The prognosis for individuals with hypertensive encephalopathy depends on the severity of the condition and the individual's overall health. With prompt treatment, most individuals can recover fully. However, if left untreated, hypertensive encephalopathy can lead to permanent brain damage or death.
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Contributors: Prab R. Tumpati, MD