Neurological Problems Due to Hypertension

Hypertension is one of the major risk factors for many neurological disorders, ranging from cerebrovascular diseases to dementia. These conditions can lead to paralysis, blindness, and even death. Neurological illnesses caused by hypertension can onset suddenly, such as a stroke, or develop more gradually, such as encephalopathy or progressive cognitive decline.

At Hannah Joseph Hospital, we specialize in diagnosing and treating neurological problems caused by hypertension. Our experienced team is dedicated to providing comprehensive care and support to help our patients manage their condition effectively.

Brain Hemorrhages

Uncontrolled hypertension is the most common cause of brain hemorrhage, accounting for nearly 50% of all brain bleeds. Symptoms can range from abrupt changes in consciousness, potentially leading to coma, to mild headaches with or without vomiting and minimal neurological deficits. Seizures can also occur due to a hypertensive brain hemorrhage.

Diagnosis and Treatment

A CT scan or MRI of the brain is essential for diagnosing brain hemorrhages. Treatment usually includes anti-edema measures, anticonvulsants, and antihypertensives to control blood pressure. In some cases, a cerebral angiography (MR-A or Digital Subtraction Angiography) may be necessary to rule out other causes, such as ruptured vascular malformations or aneurysms. Surgery may be required to drain large hematomas that cause pressure symptoms.

At Hannah Joseph Hospital, our team of specialists utilizes advanced imaging technology and personalized treatment plans to manage brain hemorrhages effectively, ensuring the best possible outcomes for our patients.

Thrombo-embolism (Occlusive Stroke)

Hypertension is a significant risk factor for occlusive stroke (thrombo-embolic), which can lead to transient or permanent neurological deficits. This type of stroke occurs when a blood clot blocks a vessel in the brain, reducing blood flow and causing tissue damage. Symptoms can include weakness or numbness in the limbs and transient visual loss due to retinal artery spasm.

Diagnosis and Treatment

Treatment for occlusive stroke includes heparin therapy and antiplatelet drugs for minor strokes. Thrombolytic agents are used to reperfuse the ischemic brain tissue if the patient arrives early at the emergency room. Doppler studies and neck vessel angiography help determine the need for surgical interventions like carotid endarterectomy (removal of occluding plaque), stenting, or balloon dilation of narrowed arteries.

At Hannah Joseph Hospital, we offer comprehensive stroke management services, from emergency care to rehabilitation, helping patients recover and regain their quality of life.

Hypertensive Encephalopathy

Hypertensive encephalopathy is a severe condition caused by disordered vascular auto-regulation in patients with uncontrolled or malignant hypertension. Symptoms include severe headache, nausea, vomiting, and seizures. In severe cases, it can lead to deep coma or altered consciousness.

Diagnosis and Treatment

Treatment involves hospitalization in the intensive care unit, rapid and adequate control of blood pressure, antiemetics, and anticonvulsants. Some patients may require anti-edema therapy if imaging studies show cerebral edema. Early and prompt treatment can make this critical illness completely reversible.

At Hannah Joseph Hospital, we provide intensive care and personalized treatment plans for patients with hypertensive encephalopathy, aiming to stabilize their condition and prevent further complications.

Trust Hannah Joseph Hospital for Expert Care

Hypertension-related neurological problems require expert diagnosis and treatment to prevent serious complications and improve patient outcomes. At Hannah Joseph Hospital, we are committed to providing comprehensive, compassionate care for patients with hypertension-induced neurological disorders.

Our multidisciplinary team uses advanced technology and innovative treatments to offer the best possible care. If you or a loved one is experiencing symptoms of a hypertension-related neurological problem, contact Hannah Joseph Hospital today. Our team is here to support you every step of the way, providing expert care and a path to recovery. Your health is our priority, and we are dedicated to helping you achieve the best possible outcome.

Author:

Dr. M. J. Arunkumar, M. Ch., DNB
Senior Consultant Neurosurgeon
Hannah Joseph Hospital
Madurai