ESSENTIAL HYPERTENSION AND CHRONIC HYPERTENSIVE ENCEPHALOPATHY
Authors: CHARLES DAVISON
Journal: Annals of Internal Medicine (1939)

Article1 May 1939ESSENTIAL HYPERTENSION AND CHRONIC HYPERTENSIVE ENCEPHALOPATHY(A Clinico-Pathologic Study)*CHARLES DAVISON, M.D., NORMAN Q. BRILL, M.D.CHARLES DAVISON, M.D.Search for more papers by this author, NORMAN Q. BRILL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-11-1766 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe 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...Bibliography1. OPPENHEIMERFISHBERG BSAM: Hypertensive encephalopathy, Arch. Int. Med., 1928, xli, 264. CrossrefGoogle Scholar2. GULLSUTTON WWHG: On the pathology of the morbid state commonly called Bright's disease, Trans. Med.-Chir. Soc., 1872, lv, 273. CrossrefGoogle Scholar3. JORES L: Ueber die Arteriosclerose der kleinen Organarterien, Virchow's Arch. f. path. Anat., 1904, clxxviii, 374. Google Scholar4. MUNZER E: Gefaesssklerosen, Wien. Arch. f. inn. Med., 1920, ii, 1. Google Scholar5. EVANS G: A contribution to the study of arteriosclerosis, Quart. Jr. Med., 1920, xiv, 215. CrossrefGoogle Scholar6. FISHBERG AM: Anatomic findings in essential hypertension, Arch. 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To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication September 26, 1938.From the Neurological Division and Neuropathological Laboratory, Montefiore Hospital. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPapilledema and Idiopathic Intracranial HypertensionCerebral Vascular Accidents in Patients over the Age of 60: I. General ConsiderationsCHRONIC CEREBRAL HYPERTENSIVE DISEASEHypertonieCHRONIC CEREBRAL HYPERTENSIVE DISEASEDie Zirkulationsstörungen des Gehirns und seiner HäuteEncefalopatia hipertensiva seudotumoralHypertonieThe Psychiatric Manifestations of Early Cerebral Damage in Essential HypertensionHypertensive Vascular Disease: Its Clinical Course, Differential Diagnosis, Pathogenesis and TreatmentPhysiology of essential hypertensionTHE HORMONAL, CENTRAL AND RENAL ORIGIN OF "ESSENTIAL" HYPERTENSION (CEREBRAL AND RENAL ARTERIOSCLEROTIC ISCHEMIA AS CAUSAL FACTORS)*W. RAAB, M.D. 1 May 1939Volume 12, Issue 11Page: 1766-1781KeywordsArteriolesBrain diseasesHemorrhageHypertensionLesionsParalysisResearch laboratoriesThrombosis ePublished: 1 December 2008 Issue Published: 1 May 1939 PDF downloadLoading ...