Title

New Developments in Hypertensive Encephalopathy.

Document Type

Article

Publication Date

2-26-2018

Publication Title

Current hypertension reports

Abstract

PURPOSE OF REVIEW: This review summarizes the latest science on hypertensive encephalopathy and posterior reversible encephalopathy syndrome (PRES). We review the epidemiology and pathophysiology of these overlapping syndromes and discuss best practices for diagnosis and management.

RECENT FINDINGS: Diagnosis of hypertensive encephalopathy largely relies on exclusion of other neurological emergencies. We review the extensive causes of PRES and its imaging characteristics. Management strategies have not changed substantially in the past decade, though newer calcium channel blockers simplify the approach to blood pressure reduction. While this alone may be sufficient for treatment of hypertensive encephalopathy in most cases, management of PRES also depends on modification of other precipitating factors. Hypertensive encephalopathy and PRES are overlapping disorders for which intensive blood pressure lowering is critical. Further research is indicated to both in diagnosis and additional management strategies for these critical conditions.

Medical Subject Headings

Antihypertensive Agents; Blood Pressure; Brain; Humans; Hypertension; Hypertensive Encephalopathy

PubMed ID

29480370

Volume

20

Issue

2

First Page

13

Last Page

13

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