Generalized Seizure in Severe Hypertension

Abstract

Hypertension can be defined as systolic blood pressure (BP) ≥130 and diastolic blood pressure ≥80, usually associated with multiple adverse clinical outcomes, including stroke, heart failure, myocardial infarction, renal insufficiency/failure, peripheral vascular disease, retinopathy, dementia, and premature mortality. Our patient was a middle-aged man who had an episode of clonic seizure in the background of severe hypertension. EEG revealed bilateral sharp wave activity in the central, parietal, and temporal regions, indicating generalized seizures. There was remission of his seizure after controlling his blood pressure.