A 62-year-old male develops sudden-onset severe headache during a marathon. His blood pressure is 230/130 mmHg. He becomes confused and develops papil...

Question

A 62-year-old male develops sudden-onset severe headache during a marathon. His blood pressure is 230/130 mmHg. He becomes confused and develops papilloedema. He has no focal neurological deficit. What is the most likely diagnosis?

Accepted Answer

Hypertensive encephalopathy (hypertensive emergency with end-organ damage)

Answer

Tension headache

Answer

Migraine with aura

Answer

Subarachnoid haemorrhage

Answer

Dehydration-related headache

uk-dipimc MCQ (SBA): Hypertensive Encephalopathy

A 62-year-old male develops sudden-onset severe headache during a marathon. His blood pressure is 230/130 mmHg. He becomes confused and develops papilloedema. He has no focal neurological deficit. What is the most likely diagnosis?