Hypertensive encephalopathy

Hypertensive encephalopathy occurs in malignant hypertension. She is accompanied by swelling of the brain. Volhard (F. Volliard) and G. F. lang considered hypertensive encephalopathy as diffuse stroke, not associated with renal excretory function, and called it pseudorational.
The hypertensive encephalopathy syndrome develops acute or subacute. Blood pressure rises sharply. They have a severe headache, the complete lack of appetite, nausea, vomiting. After this comes oglushennosti, Zaporozhie state, attacks amaurosis and often epileptic seizures. You can often find meningeal symptoms, especially muscle stiffness of the neck. At the bottom of the eye - hypertensive neiroretinit or congestive nipple. The pressure of the cerebrospinal fluid sharply increased, sometimes the protein content in it increases up to 1-2 per thousand. These symptoms can occur without focal signs of brain damage, but are often accompanied transient focal symptoms in the form hemiparesis, hemianesthesia, aphasia, cerebellar disorders. In the presence of stagnant nipples and other signs of increased intracranial pressure difficulties may represent the differential diagnosis with a brain tumor. In favor of encephalopathy says high blood pressure and the presence on the bottom of the eye, in addition to congestive nipples, hemorrhages, and exudate in the retina.
Treatment is aimed urgent lowering blood pressure. Intravenous administration of 1 ml of 2% solution benzogeksoniya. In the absence of the effect in 1-2 hours enter the second dose. This means increasing the lifting of the head end of the bed, 25 see In the future give rezerpin inwards to 1 mg 3 times a day. When seizures - chloral hydrate enema 1-2 g per enema. H. Lurie.