HYPERTENSIVE ENCEPHALOPATHY: TO BE DIAGNOSED AND TREATED IMMEDIATELY

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.