Key result
Pharmacological blood pressure control resolved complex visual hallucinations and encephalopathy in a patient presenting with malignant hypertension of renovascular origin.
Complex visual hallucinations can be a presenting feature of malignant hypertension and may resolve with effective blood pressure control.
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May prompt evaluation for malignant hypertension in unexplained visual hallucinations; leaves open confirmation in larger cohorts.
A 68-year-old man with malignant hypertension of renovascular origin presented with visual impairment and complex visual hallucinations. Four weeks after the hypertension had been controlled by drugs, the hallucinations ceased and electroencephalographic evidence of encephalopathy resolved.
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Rosbotham et al. (1992) studied this question. Pharmacological blood pressure control resolved complex visual hallucinations and encephalopathy in a patient presenting with malignant hypertension of renovascular origin.
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