title: [Hypertensive crisis and sudden change of vision in young patients].
abstract: The sudden change in vision is a medical emergency that must be evaluated immediately to rule out important institutions as systemic vasculitis or ischemic stroke. Its association with hypertensive crisis makes it necessary to rule out accelerated-malignant hypertension, which is accompanied by other retinal disorders (exudates and hemorrhages) and adrenal involvement. Nonarteritic anterior ischemic optic neuropathy (AION) is another entity to consider, as is it not uncommon in the young (12.7% in a series of 848 cases). Its association with hypertension has been described in 32% of cases.
authors: Servicio de Medicina Interna, Hospital Transversal Sant Joan Despí Moisès Broggi-Hospital General de L'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat, Barcelona, España. Electronic address: MariadelSenor.CortesFernandez@sanitatintegral.org.
authors: M S
authors: MS
authors: Cortés Fernández
authors: Área Atención Integral Riesgo Vascular, Hospital Transversal Sant Joan Despí Moisès Broggi-Hospital General de L'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat, Barcelona, España.
authors: C
authors: C
authors: Martín-Castillejos
authors: Servicio de Medicina Interna, Hospital Transversal Sant Joan Despí Moisès Broggi-Hospital General de L'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat, Barcelona, España; Área Atención Integral Riesgo Vascular, Hospital Transversal Sant Joan Despí Moisès Broggi-Hospital General de L'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat, Barcelona, España; Universitat de Barcelona.
authors: P
authors: P
authors: Armario
mesh_terms: D000328:Adult; D004630:Emergencies; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy; D008297:Male; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis / Q000209:etiology*
keywords: Arterial hypertension; Crisis hipertensiva; Hipertensión arterial; Hypertensive crisis; Ictus isquémico; Ischemic optic neuritis; Ischemic stroke; Jóvenes; Medical emergency; Neuritis óptica isquémica; Systemic vasculitis; Urgencia médica; Vasculitis sistémicas; Young people