Status epilepticus :a clinical presentation of hypertensive encephalopathy

Back ground: Status epilepticus is a seriousneurologic emergency during childhood period. Major causes include hypoglycemia, head trauma, intracranial infections, hypo and hypernatremia, hypocalcemia, hypomagnesemia, drug withdrawal and intoxications. Some encephalopathies due to uremia, hypertention and dialysis may lead to seizures. This study presented two cases with hypertensive encephalopathy and status epilepticus.Methods: Two cases with status epilepticus were admitted in Ali-Asghar children hospital during 2016-2017.Data about age,gender and clinical manifestations was recorded.Results: First case was a 5 year old girl who was admitted in our intensive care unitwith status epilepticus. Seizureswas refractory to antiepileptic therapy ,Phenobarbital ,phenytoin and miadazolam. When hypertention was detected, after antihypertensive treatment, seizures compeletly controled.During hospitalization, we found that she regressed in motor, speech and cognition and had no visual attention. Electroencephalography detected rare paroxysmal discharges.There was not significant abnormality in brain CT scan.Renal biopsy showed focal and segmental glumerolosclerosis and treatment was started. Gradually motor-speech delay and visual function became near normal. Second case was an eight year old boy with autoimmune encephalopathy and received high doses of intravenous methylprednisolone for five days. One week after recovery,he experienced headache, restlessness and generalized seizures that continued and was finally status epilepticus. Hypertension and abnormal signals in occipital region of the brain-in magnetic resonance imaging-was suggested posterior reversible encephalopathy. After treating of hypertension that was supposed to corticosteroid medication, clinical findings subsided.Conclusion: Hypertensive encephalopathy may cause loss of consciousness ,cognition impairment and seizuredisorder.In our cases hypertension was presented with status epilepticus