Malignant Hypertension: An Inaugural Presentation With Atypical Pres

Abstract

Neurological alterations in an inaugural hypertension presentation are not uncommon, being one of the most important causes of morbidity and mortality, compromising 0.5% of all cases, and 35.9% of all hypertensive cases admitted to an emergency room1, making them of paramount importance to be investigated, controlled and post haste terminated in order to prevent recurrences. Such events can be associated with neurological symptoms, of those headaches being the most common, of a permanent intensity, sometimes even responsible for awaking the patient during their sleep, and in a more emergent presentation can be accompanied with loss of vision, hemiparesis and loss of consciousness, of whom require the quickest systematic and aggressive interventions to prevent these temporary symptoms to become permanent ones. This clinical case is an example of how, with critical thinking and the right approach we can reverse the course of an emergency towards normality, not forgetting the follow up to prevent the reoccurrence of hypertensive flares with the right medication and investigation of possible secondary causes that might’ve been undiagnosed before.