Hypertensive encephalopathy: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Hypertensive encephalopathy: management. There is bilateral parieto-occipital vasogenic oedema. Fully referenced neurology checklist.
Magnetic resonance imaging (MRI) brain: features
- There is bilateral parieto-occipital vasogenic oedema
- These appear as increased signal on apparent diffusion coefficient (ADC)
- They are hypo- or isointense on diffusion-weighted images (DWI)
- They do not demonstrate restricted diffusion on DWI
- They show as punctuate or confluent increased signal changes on FLAIR and T2-weighted sequences
- Infarction and haemorrhages may occur
Treatment of hypertension: drug options
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Treatment of hypertension: approach
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References
- Tan YY, Tan K. Hypertensive brainstem encephalopathy: a diagnosis often overlooked. Clin Med (Lond) 2019; 19:511-513.
- Osman Y, Imam YZ, Salem K, Al-Hail H, Uthman B, Deleu D. Isolated brainstem involvement in a patient with hypertensive encephalopathy. Case Rep Neurol Med 2013; 2013:540947.
- Aronow WS. Treatment of hypertensive emergencies. Ann Transl Med 2017; 5(Suppl 1):S5.
