Clinical challenges and individualized management of hypertensive emergency complicated by acute ischemic stroke: A case report and literature review.
Weihao Wang, Don Zhu, Xiaoyu Liu et al.
✦ AI-curated · Sources linked
Case in brief
Three patients with chronic hypertension presented with acute ischemic stroke during a hypertensive emergency. They were diagnosed based on clinical signs and imaging. All received urapidil for blood pressure control, followed by thrombolysis in one case and mechanical thrombectomy in the others. All patients stabilized hemodynamically and showed significant neurological recovery, although one was lost to follow-up post-transfer.
Diagnostic / clinical pearl
In managing hypertensive emergencies complicated by acute ischemic stroke, individualized treatment strategies are essential to balance blood pressure control and cerebral perfusion needs.
Why it matters
This case highlights the importance of a multidisciplinary approach and close follow-up in optimizing long-term outcomes for patients with complex presentations of hypertensive emergencies.