%0 Journal Article %T A case of refractory hypertension in young age %A Farhana Mumtaz %A Kazi Ikramul Hoque %A Masud Kabir %A Md Shamsul Hoque %A Mohammad Asaduzzaman %A Rafat Raihan %A Sakhawat Hossain %A Silfat Azam %A Uzzwal Kumar Mallick %J Bangladesh Critical Care Journal %D 2018 %R https://doi.org/10.3329/bccj.v6i2.38588 %X Renal artery stenosis (RAS) is most common cause of secondary hypertension and accounts for approximately 1¨C3% of all causes of hypertension. Fibromuscular dysplasia (FMD) is important cause of RAS in young patients. Various therapeutic options are currently available for patients with renovascular hypertension: medical antihypertensive therapy, surgical revascularisation and transluminal angioplasty including stent implantation. We present in this report a female patient with left renal artery & left renal atrophy and segmental marked stenosis of supra renal aorta who presented with hypertensive encephalopathy & viral meningitis. Patient was successfully treated with antiviral agent. Bangladesh Crit Care J September 2018; 6(2): 102-104 %K Renal artery stenosis (RAS) %K refractory hypertension %K fibromuscular dysplasia (FMD) %U https://www.banglajol.info/index.php/BCCJ/article/view/38588