HYPERTENSIVE ENCEPHALOPATHY: TO BE DIAGNOSED AND TREATED IMMEDIATELY
نویسندگان
چکیده
It is important to have a good understanding of the pathogenetic diagnosis and treatment features severe complication with high mortality – hypertensive encephalopathy (HE) because amount people suffering from chronic arterial hypertension constantly increasing. Thus, this article briefly reviews mechanism cerebral blood flow autoregulation, HE pathophysiology, main aspects treatment. An episode caused by sudden significant increase in pressure, when autoregulatory mechanism becomes ineffective. Along increased patient gradually develops neurological symptoms ranging intense headache vision loss, loss consciousness, convulsions. The based on clinical signs acute subsequent symptoms. Also, can be determined retrospectively rapidly disappear effective antihypertensive Computed tomography differentiating intracerebral hemorrhage ischemic stroke. In management it recommended return limits autoregulation immediately reducing mean pressure 20-25%. order achieve maximum rapid antihypertensive effect, suggested administer medication only intravenously. Labetalol sodium nitroprusside are currently first-line drugs for treatment HE. Patients should hospitalized intensive care unit continuous control decreasement while observing cautious dynamics condition. outcome patients depends urgency efficiency returning as well comorbidities, severity condition possible complications.
منابع مشابه
hypertensive encephalopathy
how to cite this article: sharifian m. hypertensive encephalopathy. iran j child neurol 2012; 6(3):1-7. hypertension is called the silent killer and vital organs such as the brain, eyes,kidneys and the heart are the targets. seizure, central nervous system (cns)hemorrhage, and cerebrovascular accident (cva), blindness and heart attacksare the end points.the prevalence of hypertension in childre...
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متن کاملHypertensive Encephalopathy
Corresponding Author: Sharifian M. MD Mofid Children Hospital Email:[email protected] Objective Hypertension is called the silent killer and vital organs such as the brain, eyes, kidneys and the heart are the targets. Seizure, central nervous system (CNS) hemorrhage, and cerebrovascular accident (CVA), blindness and heart attacks are the end points. The prevalence of hypertension in ch...
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ژورنال
عنوان ژورنال: Health Sciences
سال: 2022
ISSN: ['2658-865X']
DOI: https://doi.org/10.35988/sm-hs.2022.260