علاج متلازمة اعتلال الدماغ البيضاء الخلفي العكسي في ارتفاع ضغط الدم الحاد الشديد

References

DOI: 10.1056/NEJMra2114482

The disorder typically occurs in patients with acute, severe hypertension or moderate but acute elevations in blood pressure that are outside the accustomed range for the patient, or exposure to certain drugs and toxic agents, mostly from chemotherapeutic drugs and immunosuppressive agents.

For patients with a hypertensive emergency, pertinent cardiology-based treatment guidelines recommend ICU admission with continuous blood-pressure management.

Although a specific blood-pressure target has not been established in the treatment of PRES, there is consensus that blood-pressure reduction generally does not have to exceed 25% of systolic pressure within the first hour, followed by cautious normalization of blood pressure over 24 to 48 hours.