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Hypertensive Encephalopathy And The Neurologic Manifestations Of Malignant Hypertension

E. Healton, J. Brust, D. Feinfeld, G. Thomson
Published 1982 · Medicine

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In a prospective study, 34 patients with 41 admissions for malignant hypertension were examined by a neurologist before and after antihypertensive treatment. Neurologic examination was normal in 17 cases, and neurologic diagnoses in 19 others included acute cerebral infarction (10), uremic encephalopathy (4), dementia of uncertain etiology (3), multiple infarct dementia (1), and chronic paranoid schizophrenia (1). Five patients had a generalized neurologic syndrome consistent with hypertensive encephalopathy, characterized by altered mental function with or without generalized convulsions. In these patients, neurologic examination was normal 1 to 7 days after lowering of blood pressure, while renal function remained unchanged. Neurologic disease is therefore common in malignant hypertension, and hypertensive encephalopathy may be more frequent than previously described.
This paper references
Vascular disease of the brain
RD Adams (1953)
10.1161/str.14.6.1009b
Hypertensive encephalopathy.
A. Egol (1983)
10.1136/bmj.1.5852.507
Autoregulation of Brain Circulation in Severe Arterial Hypertension
S. Strandgaard (1973)
10.1212/WNL.28.9.928
Hypertensive encephalopathy
E. M. Chester (1978)
The syndrome of malignant hypertension.
T. Kotchen (1975)
10.1016/0002-9343(68)90255-6
Neurologic disorders in renal failure.
H. R. Tyler (1968)
10.1136/bmj.2.5005.1319
Neurological Manifestations of Malignant Hypertension
E. Clarke (1956)
10.1001/ARCHINTE.1961.03620100011003
Neurologic complications of acute uremia.
S. Locke (1961)
10.1136/bmj.2.3907.990
THE HYPERTENSIVE CEREBRAL ATTACK
D. McAlpine (1935)
10.1016/0002-8703(53)90147-1
The natural history and course of hypertension with papilledema (malignant hypertension).
M. F. Schottstaedt (1953)
Pathogenesis of hypertensive retinopathy
A Garner (1975)
Autoregulation of cerebral circulation in hypertension.
S. Strandgaard (1978)
10.1001/ARCHINTE.1967.00290230175014
Pathology of the Kidney.
G. Lundberg (1967)
10.1001/ARCHINTE.1974.00320170073006
Malignant hypertension. Current modes of therapy.
J. Dranov (1974)
Hypertensive cerebrovascular disease: a clinical and pathological study of 100 cases
A Hudson (1958)
Convulsions and EEG changes in uremia.
H. R. Tyler (1965)
10.1016/0002-9343(51)90218-5
Blood levels of urea nitrogen, phenol, guanidine and creatinine in uremia.
N. Olsen (1951)
10.1093/OXFORDJOURNALS.QJMED.A067018
HYPERTENSIVE ENCEPHALOPATHY WITH CORTICAL DISORDERS OF VISION.
E. Jellinek (1964)
10.1056/NEJM189110291251802
Relations between Arterial Disease and Visceral Changes
G. Peabody (1891)
10.1001/ARCHINTE.1970.00310110176032
A perspective on uremic toxins.
D. Black (1970)
10.1016/0033-0620(74)90026-7
Hypertensive encephalopathy: Mechanisms, clinical features, and treatment.
R. Gifford (1974)
10.1016/S0140-6736(54)91821-8
The pathogenesis of hypertensive encephalopathy and its relation to the malignant phase of hypertension; experimental evidence from the hypertensive rat.
F. Byrom (1954)
Cases from the medical grand rounds; Massachusetts general hospital.
R. L. Berg (1950)



This paper is referenced by
10.1016/S0749-0704(05)70299-2
Management of hypertension in acute intracerebral hemorrhage.
R. E. Adams (1997)
10.1007/978-3-642-75548-4_4
Clinical Syndromes, Pathogenesis, and Differential Diagnosis
W. Hacke (1991)
10.1111/j.1365-2362.1983.tb00088.x
Effect of diazoxide‐induced hypotension on cerebral blood flow in hypertensive rats
D. I. Barry (1983)
Unusual MR findings of the brain stem in arterial hypertension.
J. de Sèze (2000)
10.1038/s41440-020-0521-2
Concurrent analogous organ damage in the brain, eyes, and kidneys in malignant hypertension: reversible encephalopathy, serous retinal detachment, and proteinuria
Eikan Mishima (2020)
10.1046/j.1468-2982.2003.00607.x
Bathing Headache: A Variant of Idiopathic Thunderclap Headache
S. Solomon (2003)
10.4097/KJAE.2007.52.6.S86
Posterior Reversible Encephalopathy Syndrome after Cesarean Section under Spinal Anesthesia -A case report-
J. Y. Hong (2007)
10.1097/00004872-200018040-00013
Headache in patients with mild to moderate hypertension is generally not associated with simultaneous blood pressure elevation
P. Kruszewski (2000)
Posterior Reversible Encephalopathy Syndrome after Cesarean Section under Spinal Anesthesia
Jeong-Yeon Hong (2007)
10.1097/00006123-199905000-00097
Hypertensive encephalopathy as a complication of hyperdynamic therapy for vasospasm: report of two cases.
S. Amin-Hanjani (1999)
10.1046/j.1468-2982.2003.00577.x
Thunderclap Headache Associated with Reversible Vasospasm and Posterior Leukoencephalopathy Syndrome
D. Dodick (2003)
10.1016/B978-0-7020-3396-4.00039-1
Syndromes of cognitive impairment
Lesley Stevens (2011)
10.1177/197140090601900206
Reversible Hypertensive Encephalopathy in Childhood
E. Finotti (2006)
10.1016/S0022-3476(89)80276-8
Convulsions in children undergoing renal transplantation.
P. Mcenery (1989)
10.1590/S1676-26492006000700006
Epilepsias e hipertensão arterial sistêmica
F. Scorza (2006)
10.1161/01.STR.15.1.102
Cerebral Blood Flow During Dihydralazine-Induced Hypotension in Hypertensive Rats
D. I. Barry (1984)
10.1111/j.1528-1157.1996.tb00644.x
Severe, Uncontrolled Hypertension and Adult‐Onset Seizures: A Case‐Control Study in Rochester, Minnesota
D. Hesdorffer (1996)
10.1016/B978-1-4160-5478-8.10037-5
37 – Hypertensive Encephalopathy
Catherine Lamy (2011)
10.1007/s10194-011-0302-z
Focus on the management of thunderclap headache: from nosography to treatment
E. Ferrante (2011)
10.1155/1996/654071
Pathophysiology of Headaches with a Prominent Vascular Component
J. Pareja (1996)
10.1016/S0072-9752(10)97053-X
Headache attributed to disorders of homeostasis.
D. Dodick (2010)
10.1016/B978-1-4377-0435-8.00078-0
Interrelationships between Renal and Neurologic Diseases and Therapies
R. Rust (2012)
10.2169/INTERNALMEDICINE.42.1139
Reversible posterior leukoencephalopathy syndrome in a postpartum woman without eclampsia.
T. Uwatoko (2003)
10.1016/0167-5273(92)90025-X
Oral nifedipine in the treatment of hypertensive crises in patients with hypertensive encephalopathy.
S. Komşuoğlu (1992)
10.1212/WNL.51.5.1369
Posterior leukoencephalopathy without severe hypertension
H. Ay (1998)
10.1016/0033-0620(89)90022-4
Pathophysiology, clinical aspects, and treatment of hypertensive crises.
M. Houston (1989)
10.1016/0090-3019(93)90096-J
Resolution of focal CT hypodense lesions in patients with subarachnoid hemorrhage.
C. Baker (1993)
10.29828/JFMA.200301.0011
Cortical blindness in a boy with acute glomerulonephritis.
Min-Hsien Yang (2003)
10.1007/978-3-319-29152-9_9
Hypertensive Encephalopathy, Posterior Reversible Encephalopathy Syndrome, and Eclampsia
K. Orjuela (2016)
10.1016/0002-9149(89)90398-6
Differentiation and investigation of primary versus secondary hypertension (Cushing reflex).
J. V. Jones (1989)
10.1002/ANA.410180219
Hypertensive encephalopathy: Diffuse reversible white matter ct abnormalities
M. Fisher (1985)
10.1001/ARCHNEUR.1985.04060090081018
Hypertension in acute ischemic strokes. Not to treat.
F. Yatsu (1985)
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