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Hypertensive encephalopathy (HE) isa clinical syndrome that occurs infrequentlyin children and is oftenunderdiagnosed. We review fourpatients with HE and describe theirclinical presentation and radiologicalfindings on computed tomography(CT). Our cases demonstrate typicalfeatures on CT and correlate clinicallywith the syndrome of HE. Promptrecognition of the syndrome aids inearlier diagnosis and treatment, andhence proves beneficial to the patient.