title: SPONTANEOUS BILATERAL HEMORRHAGIC CHOROIDAL DETACHMENTS ASSOCIATED WITH MALIGNANT HYPERTENSION.
abstract: OBJECTIVE
  To report the details of a patient with bilateral spontaneous suprachoroidal hemorrhages related to malignant hypertension.
  
  
  METHODS
  Observational case report with review of relevant literature.
  
  
  RESULTS
  A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days. Symptoms began during an inpatient admission for malignant hypertension. Examination revealed bilateral 360° hemorrhagic choroidal detachments without retinal hemorrhage or detachment. Choroidal hemorrhages underwent prompt resolution with blood pressure control.
  
  
  CONCLUSIONS
  Spontaneous suprachoroidal hemorrhage is a rare event and should prompt a focused systemic workup including the evaluation of blood pressure.
authors.affiliation: *Department of Ophthalmology, Beaumont Health System, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan; †Oakland University William Beaumont School of Medicine, Rochester, Michigan; ‡Retina Consultants of Michigan, Southfield, Michigan; and §Department of Ophthalmology, Henry Ford Hospital, Detroit, Michigan.
authors.forename: Albert Y
authors.initials: AY
authors.lastname: Cheung
authors.forename: James A
authors.initials: JA
authors.lastname: David
authors.forename: Michael D
authors.initials: MD
authors.lastname: Ober
mesh_terms: D015862:Choroid Diseases / Q000209:etiology*; D002832:Choroid Hemorrhage / Q000209:etiology; D006801:Humans; D006974:Hypertension, Malignant / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012607:Scotoma / Q000209:etiology