Hypertensive encephalopathy: pathology

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hypertensive encephalopathy: pathology. This is encephalopathy resulting from very high blood pressure. Fully referenced neurology checklist.

Pathology

  • This is encephalopathy resulting from very high blood pressure
  • It is a form of posterior reversible encephalopathy syndrome (PRES)

Pathophysiology

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Risk factors

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Clinical features

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Magnetic resonance imaging (MRI) brain: features

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Differential diagnosis

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Treatment of hypertension: drug options

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Treatment of hypertension: approach

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References

  1. Tan YY, Tan K. Hypertensive brainstem encephalopathy: a diagnosis often overlooked. Clin Med (Lond) 2019; 19:511-513.
  2. 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.
  3. Hsieh CY, Chen CH, Chang TP. Isolated brainstem involvement in a patient with hypertensive encephalopathy. Acta Neurol Taiwan 2010; 19:45-50.
  4. Thambisetty M, Biousse V, Newman NJ. Hypertensive brainstem encephalopathy: clinical and radiographic features. J Neurol Sci 2003; 208:93-99.
  5. Edvardsson B. Hypertensive encephalopathy and cerebral infarction. Springerplus 2014; 3:741.
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