Ram C V
Arch Intern Med. 1978 Dec;138(12):1851-3.
Hypertensive encephalopathy is a dramatic syndrome characterized by severe elevation of blood pressure, headache, visual disturbances, altered mental status, and convulsions. Although the syndrome is uncommon, to recognize and treat it promptly is important or the condition may prove to be fatal. Hypertensive encephalopathy should be distinguished from other cerebral complications of severe hypertension by obtaining careful history and performing thorough physical examination. The only definitive criterion for the diagnosis of this syndrome is its prompt response to therapy. If the patient's condition does not improve with hypotensive therapy, the physician should immediately search for alternate diagnoses. Potent drugs are available for prompt reduction of blood pressure. There are few medical emergencies in which the objective response to therapy is so strikingly apparent as in hypertensive encephalopathy.
高血压脑病是一种严重的综合征，其特征为血压严重升高、头痛、视觉障碍、精神状态改变及惊厥。尽管该综合征并不常见，但及时识别并治疗至关重要，否则病情可能会致命。通过详细询问病史并进行全面体格检查，高血压脑病应与重度高血压的其他脑部并发症相鉴别。诊断该综合征的唯一确切标准是其对治疗的迅速反应。如果患者病情在降压治疗后没有改善，医生应立即寻找其他诊断。有强效药物可用于迅速降低血压。在少数医疗急症中，治疗的客观反应像在高血压脑病中那样明显。
