Hypertension affects approximately 25% of the population of the United States. Complications from hypertension include ischemic heart disease and stroke, and rates increase progressively as blood pressure increases.1 In some cases, the elevation of blood pressure can be significant and be life threatening. Situations where there is severe elevation of blood pressure and evidence of target organ dysfunction are termed hypertensive emergency. In this report, an unusual cause of hypertensive emergency is presented.