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ImPRESsive hypertensive encephalopathy
  1. Farid Salih1,
  2. Christoph Leithner1,
  3. Georg Bohner2,
  4. Christoph J Ploner1
  1. 1Klinik für Neurologie, Charité-Universitätsmedizin Berlin, Germany
  2. 2Institut für Radiologie, Abt. für Neuroradiologie, Charité-Universitätsmedizin Berlin, Germany
  1. Correspondence to Dr Farid Salih, Department of Neurology, Charité, University Medicine Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany; farid.salih{at}

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A 67-year-old woman was admitted after having her first-ever epileptic seizure. Three days before, she started complaining of vertigo, gait disturbances and tension-type headache. Examination revealed obtundation, dysarthria and ataxia. Blood pressure was 300/123 mm Hg. Within 4 h, her consciousness deteriorated to deep coma. Brain MRI showed extensive vasogenic oedema with lesions in …

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  • Competing interests None.

  • Patient consent obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.