Acute and chronic hypertensive headache and hypertensive encephalopathy.
Three patients are described who experienced headache from hypertension: one had acute headache from acute hypertension, one had daily, morning headaches from chronic hypertension, and one had acute headache with generalized tonic-clonic seizure from hypertensive encephalopathy. The presumed pathophysiological mechanisms involved in the three hypertensive headache conditions are reviewed.
Spierings
E L H
EL
Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. ESpierungs@partners.org
D000208:Acute Disease; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001007:Anxiety / Q000209:etiology; D001160:Arterioles / Q000503:physiopathology; D002536:Cerebral Arteries / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D002908:Chronic Disease; D002940:Circadian Rhythm; D003863:Depression / Q000150:complications / Q000188:drug therapy; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006261:Headache / Q000209:etiology* / Q000503:physiopathology; D006706:Homeostasis; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000503:physiopathology; D020343:Hypertensive Encephalopathy / Q000150:complications* / Q000503:physiopathology; D007741:Labetalol / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008803:Mianserin / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D008875:Middle Aged; D000078785:Mirtazapine; D009599:Nitroprusside / Q000627:therapeutic use; D009638:Norepinephrine / Q000502:physiology; D009948:Orgasm / Q000502:physiology; D011187:Posture; D013126:Spinal Nerve Roots / Q000503:physiopathology; D014665:Vasodilator Agents / Q000627:therapeutic use; D014839:Vomiting / Q000209:etiology / Q000503:physiopathology
D000928:Antidepressive Agents; D000959:Antihypertensive Agents; D014665:Vasodilator Agents; D009599:Nitroprusside; D008803:Mianserin; D000078785:Mirtazapine; D007741:Labetalol; D009638:Norepinephrine