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What Causes High Blood Pressure After A Stroke?

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Posted on Wed, 25 Jan 2017
Question: My husband had a stroke last winter leaving him with no balance, hydrocephalus and he has dementia.Last Sat. night he became violently ill while out and passed out in a restaurant. Was taken to ER here and all labs were good but blood pressure was 207/110. He normally runs around 110/70. It has dropped back down today to 124/80. Is on no meds that would cause this. Is it possible for the hydrocephalus to cause it to spike like this? He is 80 yrs. old.
doctor
Answered by Dr. Rishu Saxena (36 minutes later)
Brief Answer:
Communicating hydrocephalus!

Detailed Answer:
Hi Dear,
Have noted all your details

Your husband is having Hypertensive hydrocephalus.Hypertensive Hydrocephalus is the result of an imbalance between the formation and drainage of cerebrospinal fluid . Almost 500 milliliters of CSF is formed by meninges within the brain each day, by collection of epidermal cells in structures called the choroid plexus. These cells line chambers called ventricles that are located within the brain. There are four ventricles in a human brain. Once formed, CSF usually circulates among all the ventricles before it is absorbed and returned to the circulatory system. The normal adult volume of circulating CSF is 150 ml. The CSF turn-over rate is more than three times per day. Because production is independent of absorption, reduced absorption causes CSF to accumulate within the ventricles.

There are three types of hydrocephalus. In the most common variety, reduced absorption occurs when one or more passages connecting the ventricles become blocked. This prevents the movement of CSF to its drainage sites in the subarachnoid space just inside the skull. This type of hydrocephalus is called "noncommunicating." In a second type, a reduction in the absorption rate is caused by damage to the absorptive tissue. This variety is called "communicating hydrocephalus."Your husband is most likely having a connectinh hydrocephalus.
Both of these types lead to an elevation of the CSF pressure within the brain. This increased pressure pushes aside the soft tissues of the brain. This squeezes and distorts them. This process also results in damage to these surrounding brain tissue.

Treatment,
Shunt surgery is the treatment of choice in symptomatic patients.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

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What Causes High Blood Pressure After A Stroke?

Brief Answer: Communicating hydrocephalus! Detailed Answer: Hi Dear, Have noted all your details Your husband is having Hypertensive hydrocephalus.Hypertensive Hydrocephalus is the result of an imbalance between the formation and drainage of cerebrospinal fluid . Almost 500 milliliters of CSF is formed by meninges within the brain each day, by collection of epidermal cells in structures called the choroid plexus. These cells line chambers called ventricles that are located within the brain. There are four ventricles in a human brain. Once formed, CSF usually circulates among all the ventricles before it is absorbed and returned to the circulatory system. The normal adult volume of circulating CSF is 150 ml. The CSF turn-over rate is more than three times per day. Because production is independent of absorption, reduced absorption causes CSF to accumulate within the ventricles. There are three types of hydrocephalus. In the most common variety, reduced absorption occurs when one or more passages connecting the ventricles become blocked. This prevents the movement of CSF to its drainage sites in the subarachnoid space just inside the skull. This type of hydrocephalus is called "noncommunicating." In a second type, a reduction in the absorption rate is caused by damage to the absorptive tissue. This variety is called "communicating hydrocephalus."Your husband is most likely having a connectinh hydrocephalus. Both of these types lead to an elevation of the CSF pressure within the brain. This increased pressure pushes aside the soft tissues of the brain. This squeezes and distorts them. This process also results in damage to these surrounding brain tissue. Treatment, Shunt surgery is the treatment of choice in symptomatic patients.