Secondary arterial hypertension accounts for only 5-10% of cases of arterial hypertension, hence the importance of its clinical suspicion for diagnosis. One of the most common causes of secondary hypertension is renovascular hypertension, caused by renal hypoperfusion and activation of the renin-angiotensin-aldosterone system. In addition to arterial hypertension being one of the most prevalent cardiovascular risk factors in the population, its poor control can cause acute neurological disorders such as Posterior Reversible Leukoencephalopathy syndrome (PRES), being characteristic the appearance of visuals alterations. Next, we present the case of a kidney transplant patient with well-controlled arterial hypertension with worsening secondary to renal artery stenosis and development of PRES.
Keywords: Arterial hypertension; Estenosis de la arteria renal; Hipertensión arterial; Hipertensión renovascular; Hipertensión secundaria; PRES syndrome; Posterior reversible leukoencephalopathy syndrome; Renal artery stenosis; Renovascular hypertension; Secondary hypertension; Síndrome de PRES; Síndrome de leucoencefalopatía posterior reversible.
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