A rare case series on hypertensive encephalopathy manifesting as psychosis

Abstract

Hypertensive encephalopathy is a rare condition which is a clinically and radiologically diagnosed disorder. It usually presents in known hypertensive cases among young- and middle-aged adults. Although it presents with altered consciousness and other multisystem manifestations, symptoms of psychosis are rarely seen; management of the disorder is proper blood pressure control. Now, we present two cases of de novo hypertension and a case of chronic hypertension with no history of psychiatric illness and presented with symptoms of irritability, confusion, and hallucinations. To our knowledge, these are the few case reports showing psychosis in hypertensive patients presented with hypertensive encephalopathy. Categories: Internal Medicine, Psychiatry, Neurology

Keywords

• altered mental status
• hypertensive encephalopathy
• psychosis