Hypertensive Encephalopathy Treatment Information

By:Juliet Cohen




Hypertensive encephalopathy describes the transitory migratory neurologic symptoms associated with the cancerous hypertensive country in hypertensive emergency. Hypertensive encephalopathy refers to a comparatively quickly evolving syndrome of serious hypertension in association with serious worry, sickness, and vomiting, visual disturbances, convulsions, altered psychological position and, in sophisticated cases, stupor and coma. Hypertension is more rife in dark folk, exceeding the frequency in new cultural minority groups. The incidence of hypertensive encephalopathy is lowest in light-colored folk.

Hypertension is more rife in men than in women. Hypertensive encephalopathy mostly occurs in middle-aged individuals who have a long-standing history of hypertension. The hallmark of encephalopathy is an altered mental state. Depending on the type and severity of encephalopathy, common neurological symptoms are progressive loss of memory and cognitive ability, subtle personality changes, inability to concentrate, lethargy, and progressive loss of consciousness. Other neurological symptoms may include myoclonus , nystagmus , tremor, muscle atrophy and weakness, dementia, seizures, and loss of ability to swallow or speak.

Treatment is symptomatic and varies, according to the type and severity of the encephalopathy. Pharmacologic agents selected for use in hypertensive encephalopathy should have few or no CNS adverse effects. Avoid agents such as clonidine, reserpine, and methyldopa. Anticonvulsants may be prescribed to reduce or halt any seizures. Changes to diet and nutritional supplements may help some patients. Nitroprusside is frequently used as initial therapy because of its rapid onset and short duration of action. Nitroglycerin has been used to provide a rapid reduction in blood pressure complicating myocardial ischemia.

Hypertensive Encephalopathy Treatment and Prevention Tips

1. Dialysis or organ replacement surgery may be needed.

2. Anticonvulsants may be prescribed to reduce or halt any seizures.

3. Changes to diet and nutritional supplements may help some patients.

4. Nitroprusside is frequently used as initial therapy

5. Avoid agents such as clonidine, reserpine, and methyldopa.

6. Hydralazine has a limited role owing to reflex tachycardia,

7. Trimethaphan camsylate is used to reduce the shearing force in the presence of aortic dissection.

About the author:
Juliet Cohen writes article for Sty Treatment. She also writes articles for Makeup and Skin Care.