Hypertensive encephalopathy in patients with chronic renal failure caused by stopping antihypertensive agents: a report of two cases.
We herein report two cases of patients with chronic kidney disease who developed hypertensive encephalopathy, which occurred after a sudden discontinuance of antihypertensive agents. Both patients underwent care at our hospital after experiencing neurological abnormalities. In both patients, magnetic resonance imaging (MRI) revealed edema in the cerebral white matter and cortices, basal ganglia, brainstem, and cerebellum. Though recently the number of reports about hypertensive encephalopathy has decreased, we describe two case reports and also review the pertinent literature.
Nakabou
Mari
M
Department of Cardiology, Saiseikai Tondabayashi Hospital, Tondabayashi, Osaka, 584-0082, Japan. marigold-410@hotmail.co.jp
Kai
Tatsuya
T
Maeshima
Tetsuya
T
Kanamasa
Ken
K
D000328:Adult; D000959:Antihypertensive Agents / Q000009:adverse effects*; D001929:Brain Edema / Q000139:chemically induced; D006801:Humans; D020343:Hypertensive Encephalopathy / Q000139:chemically induced*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D054038:Posterior Leukoencephalopathy Syndrome / Q000139:chemically induced*; D051437:Renal Insufficiency / Q000150:complications; D013375:Substance Withdrawal Syndrome; D014057:Tomography, X-Ray Computed
D000959:Antihypertensive Agents