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Hypertension is also a prominent risk factor for two major brain diseases: stroke and dementia, and accounts for approximately 50% of deaths caused by stroke or heart disease according to the World Health Organization (WHO).
Idiopathic intracranial hypertension ( IIH ), previously known as pseudotumor cerebri and benign intracranial hypertension, is a condition characterized by increased intracranial pressure (pressure around the brain) without a detectable cause. [2] The main symptoms are headache, vision problems, ringing in the ears, and shoulder pain.
Hypertensive encephalopathy ( HE) is general brain dysfunction due to significantly high blood pressure. [3] Symptoms may include headache, vomiting, trouble with balance, and confusion. [1] Onset is generally sudden. [1] Complications can include seizures, posterior reversible encephalopathy syndrome, and bleeding in the back of the eye. [1] [3]
There is also subsequent venous hypertension in the venous system of the eye which may contribute to the findings noted on ophthalmic exam and contributing to the visual disturbances noted.
Severely high ICP can cause the brain to herniate. Intracranial pressure ( ICP) is the pressure exerted by fluids such as cerebrospinal fluid (CSF) inside the skull and on the brain tissue. ICP is measured in millimeters of mercury ( mmHg) and at rest, is normally 7–15 mmHg for a supine adult.
Complications affecting the eye. Hypertensive retinopathy with AV nicking and mild vascular tortuosity. Hypertensive retinopathy is a condition characterized by a spectrum of retinal vascular signs in people with elevated blood pressure. [57] It was first described by Liebreich in 1859. [58]