A Case Report of Hypertensive Retinopathy Combined with Posterior Reversible Encephalopathy Syndrome
Retinopathy is one of the common complications of hypertension,but the combination of posterior reversible encephalopathy syndrome (PRES) is rarely reported.This paper reported a 34-year-old male patient,presenting with blurred vision and headache as the main symptoms.The visual acuity and intraocular pressure were normal.Fundus examination of both eyes revealed flame-shaped retinal hemorrhage and cotton wool spots,leading to a diagnosis of hypertensive retinopathy.Blood pressure was 230/150 mmHg (1 mmHg=0.133 kPa) measured in the clinic,and cranial MRI FLAIR sequence showed multiple patchy hyperintensity in both cerebral hemispheres and brain stem.Aside from renal injury,serological and cerebrospinal fluid tests showed no abnormalities.After aggressive antihypertensive therapy,the clinical symptoms and cranial imaging signs of the patient were improved,and the final clinical diagnosis was PRES.
万方数据
维普
