CHARLES DAVISON, M.D.; NORMAN Q. BRILL, M.D.
The associated renal and cardiac lesions of essential hypertension are well known; the neural complications, however, are less well established. The question frequently arises whether the neurological symptoms are caused by cerebral hemorrhages as a result of rupture of diseased vessels, encephalomalacias from thrombosis of the larger atherosclerotic cerebral vessels or encephalopathic changes secondary to implication of the cerebral arterioles. Our cases showed arteriolar involvement and clinical symptoms characterized by headaches, dysesthesias, fleeting paralysis, personality changes, intellectual impairment and a prolonged progressive course. The term "chronic hypertensive encephalopathy" is most appropriate for this group because of the diffuse areas of
DAVISON C, BRILL NQ. ESSENTIAL HYPERTENSION AND CHRONIC HYPERTENSIVE ENCEPHALOPATHY: (A Clinico-Pathologic Study)1. Ann Intern Med. 1939;12:1766–1781. doi: 10.7326/0003-4819-12-11-1766
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Published: Ann Intern Med. 1939;12(11):1766-1781.
DOI: 10.7326/0003-4819-12-11-1766
Cardiology, Coronary Risk Factors, Encephalopathy, Hypertension, Nephrology.
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