Stroke patients diagnosed as secondary hypertension: five case reports

DOI 16 References
  • Mogi Masaki
    Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University Graduate School of Medicine Department of Neurosurgery, Katagi Neurosurgical Hospital
  • Yamashita Shiro
    Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University Graduate School of Medicine
  • Fujisawa Mutsuo
    Department of Neurosurgery, Katagi Neurosurgical Hospital
  • Okura Takafumi
    Department of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine
  • Higaki Jitsuo
    Department of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine
  • Horiuchi Masatsugu
    Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University Graduate School of Medicine
  • Katagi Ryosuke
    Department of Neurosurgery, Katagi Neurosurgical Hospital

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  • 二次性高血圧症と診断された5 例の脳卒中患者の検討

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Treatment for hypertension is the most important therapy to prevent the recurrence of stroke. Secondary hypertension is sometimes observed in stroke patients. However, it is difficult to diagnose and properly manage secondary hypertension, which increases the possibily in inducing a secondary stroke. Here, we demonstrate five cases of stroke patients with secondary hypertension. Case 1: A 63-year-old male withcerebral hemorrhage in left frontal lobe and primary aldosteronism. Case 2: A 67-year-old female withcerebral ischemia in left frontal lobe and primary aldosteronism. Case 3: A 38-year-old male with a cerebral hemorrhage in the basal ganglia and a pheochromocytoma. Case 4: A 40-year-old male with cerebral hemorrhage in basal ganglia and Cushing’s syndrome. Case 5: A 65-year-old male with a cerebral ischemia from deep white matter to the cortical branch in parietal region and renovascular hypertension. These cases show us important signs to suspect secondary hypertension in patients with stroke. 1) Juvenile stroke patients especially with hypertension-induced hemorrhage. 2) Juvenile stroke patients with complications of hypertension such as severe cardiomyopathy or chronic kidney disease. 3) Hypokalemia, even treated with blockade of renin-angiotensin system. 4) Systematically observed atherosclerosis patients. 5) Neutrophilia, even after improvement of infection. These points may help us to actively diagnose the secondary hypertension and increase the quality of the management of stroke patients to prevent the recurrence of stroke.

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