Hypertensive leukoencephalopathy
- Hypertensive leukoencephalopathy
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Hypertensive leukoencephalopathy refers to a degeneration of the white matter of the brain following a sudden increase in blood pressure. [ Blueprints Neurology, 2nd ed. ]
Presentation
Patients can present with sudden increase in blood pressure, acute confusional state, headaches, vomiting, and seizure. Retinal hemorrhages and hard exudates may be present on funduscopic exam. Hypertensive leukoencephalopathy may have concurrent cardiac ischemia and hematuria.
Imaging
MRI shows hyperintensities on T2 weighted imaging, localized usually to the parietal and occipital regions.
Treatment
Antihypertensives may be effective treatment
ee also
*Leukoencephalopathy
*Leukodystrophy
References
Wikimedia Foundation.
2010.
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