Is stroke normal after a hypertensive emergency?

Acute hypertension. The short answer is no. Acute severe hypertension may lead to a stroke, but usually does not. If there is an underlying vascular malformation or aneurysm, there may be a hemorrhage, but these are not common. Chronic untreated hypertension produces changes that increase the risk of stroke, so treating it to keep systolic pressures at or under 130 is advisable. Work with your family doctor.
Stroke . It is not normal or expected to have a stroke after a hypertensive emergency, but it is possible. Another possible outcome from this emergency is a myocardial infarction. It is important to lower the blood pressure but not too quickly in order to prevent these and other complications.