Malignant Hypertension Presenting with Splenium Stroke and Secondary Thrombotic Microangiopathy



Saguier Padilla I1*, Cao J1, Perez Santos JI1, Kinjo B1 and Mercado F1

1 Department of Neurology, Hospital de Clínicas “José de San Martín”, University of Buenos Aires. Buenos Aires, Argentina.

*Corresponding Author: Dr. Ignacio Saguier Padilla, Department of Neurology, Hospital de Clínicas “José de San Martín”, University of Buenos Aires. Av. Córdoba 2351, C1120AAF. Buenos Aires, Argentina. E-mail: Ignaciosaguierp@gmail.com

DOI: https://doi.org/10.58624/SVOANE.2024.05.0134

Received: April 04, 2024     Published: April 18, 2024

 

A 47-year-old man with a history of uncontrolled hypertension was admitted to the intensive care unit due to a severe headache, blurred vision and acute confusional state with a blood pressure of 220-140 mmHg. Neurologic examination revealed an encephalopathic patient, associated with bilateral papilledema. Laboratory results showed acute renal failure, anemia and thrombocytopenia associated with proteinuria. He received titratable drugs to treat high blood pressure. Renal artery doppler was unremarkable.

Citation: Saguier Padilla I, Cao J, Perez Santos JI, Kinjo B, Mercado F. Malignant Hypertension Presenting with Splenium Stroke and Secondary Thrombotic Microangiopathy. SVOA Neurology 2024, 5:2, 93-94.