Epilepsy does not usually cause high blood pressure directly.
Epilepsy is a clinical syndrome resulting from highly synchronized abnormal discharges of neurons in the brain due to multiple causes.
Secondary hypertension has many causes. Primary aldosteronism, pheochromocytoma, renal vascular hypertension, renin-secreting tumors can cause hypertension, and some pituitary tumors (e.g., adrenocorticotropic hormone-type pituitary tumor, growth hormone-type pituitary tumor) due to hormone secretion abnormalities can cause hypertension.
Poorly controlled hypertension can lead to cerebrovascular disease and secondary seizures. In addition, patients with epilepsy can have comorbid hypertension, which needs to be controlled along with an understanding of the severity of the hypertensive condition.
Mild hypertension can be adjusted through diet and exercise; severe hypertension requires medication, and commonly used medications include hydrochlorothiazide, metoprolol, nifedipine, captopril, and cloxartan.
In addition, both epilepsy and high blood pressure are relatively dangerous and need to actively seek treatment.