Clinical Quiz on Hypertensive Crisis

Authors

  • Daniel Efosa Jesurobo Department of Internal Medicine, University of Port Harcourt Teaching, Port Harcourt

Keywords:

Clinical Quiz, Hypertensive Crises

Abstract

Case History: A 40-year-old man with a 3 months history of progressive headache presented with nausea, vomiting, visual disturbances and an episode of epileptic seizure with loss of consciousness. From his medical history, the patient had been diagnosed as hypertensive and received treatment with beta-blockers in the past, but he discontinued it, 1 year ago. At the time of admission, his blood pressure was elevated to 180/130 mmHg and remained high in several measurements during the first 24 h, despite the prompt start of antihypertensive treatment. MRI of the brain was performed on the admission day demonstrating multiple scattered areas of increased signal intensity on T2-weighted and FLAIR images in both occipital and posterior parietal lobes. There were also similar lesions in both hemispheres of the cerebellum (especially the cerebellar white matter on the left) as well as in the medulla oblongata (Figure 1ac). The lesions were not associated with mass effect and after contrast administration there was no evidence of abnormal enhancement.

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Published

2015-11-30

How to Cite

Jesurobo, D. E. (2015). Clinical Quiz on Hypertensive Crisis. The Nigerian Health Journal, 10(1-2), 40. Retrieved from https://tnhjph.com/index.php/tnhj/article/view/38

Issue

Section

Medical Education and Clinical Practice

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