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[Hypertensive crisis and sudden change of vision in young patients]

M S Cortés Fernández1, C Martín-Castillejos2, P Armario3

  • 1Servicio de Medicina Interna, Hospital Transversal Sant Joan Despí Moisès Broggi-Hospital General de L'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat, Barcelona, España.

Hipertension Y Riesgo Vascular
|February 6, 2016
PubMed

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.

Keywords:
Arterial hypertensionCrisis hipertensivaHipertensión arterialHypertensive crisisIctus isquémicoIschemic optic neuritisIschemic strokeJóvenesMedical emergencyNeuritis óptica isquémicaSystemic vasculitisUrgencia médicaVasculitis sistémicasYoung people

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