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[Neurologic manifestations of arterial hypertension in children].
[Neurologic manifestations of arterial hypertension in children].
- Source :
-
Pediatrie [Pediatrie] 1988; Vol. 43 (6), pp. 551-6. - Publication Year :
- 1988
-
Abstract
- Neurological complications of arterial hypertension are analyzed in 31 children (mean age = 9 years). All patients presented a renal or renovascular disease (acute nephritis + hypoplastic dysplasia , transplantation = 58%) for which malignant hypertension was the first symptom in 16%. The mean +/- SD initial blood pressure was 189 +/- 33/113 +/- 25 mm Hg and was preceded by previous symptoms in 1 patient out of 6. Neurological abnormalities consisted in seizures (48%), acute intracranial hypertension (39%), cranial palsy (23%), coma (19%), hemiplegia/paresia (16%), retinal changes (6%) or aphasia (6%). The EEG was abnormal in 50% of the patients, sometimes showing permanent paroxysmal activity. Neuroradiologic investigations revealed hemorrhagic and/or ischemic lesions in 1/5 patients. On follow-up, hypertension disappeared in 41% of the children; a decrease in renal function was noted in 56% of the patients at the last examination; neurological sequellae were present in 40% (EEG anomalies +/- epilepsy, motor deficit, retinal changes, psychomotor delay, cranial palsy) and 1 patient died. The morbidity of malignant hypertension stresses the importance of early diagnosis and treatment (calcium channel blockers) when its prevention is not possible.
- Subjects :
- Adolescent
Calcium Channel Blockers therapeutic use
Central Nervous System Diseases diagnostic imaging
Child
Child, Preschool
Female
Humans
Hypertension, Malignant drug therapy
Hypertension, Renovascular drug therapy
Kidney Transplantation
Male
Radiography
Retrospective Studies
Vision Disorders etiology
Central Nervous System Diseases etiology
Hypertension, Malignant complications
Hypertension, Renovascular complications
Subjects
Details
- Language :
- French
- ISSN :
- 0031-4021
- Volume :
- 43
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Pediatrie
- Publication Type :
- Academic Journal
- Accession number :
- 3054803