Hypertensive Encephalopathy – Acute

Acute Hypertensive Encephalopathy

Ashley Davidoff MD

Definition

Hypertensive encephalopathy is a reversible circulatory disorder caused by sudden and sustained elevation of systolic blood pressure (above 130 mm Hg) associated with diseases such as eclampsia, acute nephritis and resulting in a neurological disorder.

Structural changes are usually manifest by changes in the occipital lobe and symptoms include headache, restlessness, nausea, disturbances of consciousness and seizures. Signs on clinical examination include retinal hemorrhage and papilledema.

Imaging by MRI or CT usually show change in the occipital lobes.

The condition is treated by antihypertensives.

Subtle Occipital Lobe Loss of Gray White Differentiation

This hypertensive patient presents with visual disturbance and the axial CT scan shows subtle changes in the occipital lobe characterised by vague low density regions. There is loss of gray-white matter differentiation consistent with acute ischemia. These findings are consistent with acute hypertensive encephalopathy

Courtesyt Ashley Davidoff MD 73422

FLAIR Hyperintensity in the Occipital Lobes

This hypertensive patient presents with visual disturbance and the MRI using a FLAIR sequence shows obvious FLAIR hyperintensity in the occipital lobes and extending into the parietal lobes. These findings are consistent with acute hypertensive encephalopathy and ischemia of the occipital lobes characteristic of acute hypertensive encephalopathy

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FLAIR Hyperintensity in the Occipital Lobes



This hypertensive patient presents with visual disturbance and the MRI using a FLAIR sequence shows obvious FLAIR hyperintensity in the occipital lobes and extending into the parietal lobes. These findings are consistent with acute hypertensive encephalopathy and ischemia of the occipital lobes characteristic of acute hypertensive encephalopathy
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 73422




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FLAIR Hyperintensity in the Occipital Lobes



This hypertensive patient presents with visual disturbance and the MRI using a FLAIR sequence shows obvious FLAIR hyperintensity in the occipital lobes and extending into the parietal lobes. These findings are consistent with acute hypertensive encephalopathy and ischemia of the occipital lobes characteristic of acute hypertensive encephalopathy
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 73422




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This hypertensive patient presents with visual disturbance and the MRI using a FLAIR sequence shows obvious FLAIR hyperintensity in the occipital lobes and extending into the parietal lobes. These findings are consistent with acute hypertensive encephalopathy and ischemia of the occipital lobes characteristic of acute hypertensive encephalopathy
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 73422

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This hypertensive patient presents with visual disturbance and the MRI using a FLAIR sequence shows obvious FLAIR hyperintensity in the occipital lobes and extending into the parietal lobes. These findings are consistent with acute hypertensive encephalopathy and ischemia of the occipital lobes characteristic of acute hypertensive encephalopathy
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 73422

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Subtle Occipital Lobe Loss of Gray White Differentiation



This hypertensive patient presents with visual disturbance and the axial CT scan shows subtle changes in the occipital lobe characterised by vague low density regions. There is loss of gray-white matter differentiation consistent with acute ischemia. These findings are consistent with acute hypertensive encephalopathy
Courtesyt Ashley Davidoff MD 73422




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Subtle Occipital Lobe Loss of Gray White Differentiation



This hypertensive patient presents with visual disturbance and the axial CT scan shows subtle changes in the occipital lobe characterised by vague low density regions. There is loss of gray-white matter differentiation consistent with acute ischemia. These findings are consistent with acute hypertensive encephalopathy
Courtesyt Ashley Davidoff MD 73422




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This hypertensive patient presents with visual disturbance and the axial CT scan shows subtle changes in the occipital lobe characterised by vague low density regions. There is loss of gray-white matter differentiation consistent with acute ischemia. These findings are consistent with acute hypertensive encephalopathy
Courtesyt Ashley Davidoff MD 73422

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This hypertensive patient presents with visual disturbance and the axial CT scan shows subtle changes in the occipital lobe characterised by vague low density regions. There is loss of gray-white matter differentiation consistent with acute ischemia. These findings are consistent with acute hypertensive encephalopathy
Courtesyt Ashley Davidoff MD 73422

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Subtle Occipital Lobe Loss of Gray White Differentiation
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The Common Vein

TCV