Spontaneous bilateral hemorrhagic choroidal detachments associated with malignant hypertension
Cheung AY, David JA, and Ober MD. Spontaneous bilateral hemorrhagic choroidal detachments associated with malignant hypertension Retin Cases Brief Rep 2016
Retin Cases Brief Rep
PURPOSE: To report the details of a patient with bilateral spontaneous suprachoroidal hemorrhages related to malignant hypertension.
METHODS: Observational case report with review of relevant literature.
RESULTS: A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days. Symptoms began during an inpatient admission for malignant hypertension. Examination revealed bilateral 360° hemorrhagic choroidal detachments without retinal hemorrhage or detachment. Choroidal hemorrhages underwent prompt resolution with blood pressure control.
CONCLUSION: Spontaneous suprachoroidal hemorrhage is a rare event and should prompt a focused systemic workup including the evaluation of blood pressure.
Medical Subject Headings
Choroid Diseases; Choroid Hemorrhage; Humans; Hypertension, Malignant; Male; Middle Aged; Scotoma