Chen Tsung-Yi, Huang Li-Tung, Liang Chi-Di, Ko Sheung-Fat, Fang Chih-Yuan
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Acad Emerg Med. 2002 Dec;9(12):1445-7. doi: 10.1111/j.1553-2712.2002.tb01618.x.
In children, renal artery stenosis is an uncommon but important cause of secondary hypertension. In this report, the authors describe a 5-year-old boy with no history of seizures who experienced status epilepticus. Postictal blood pressure, relative hypotension, was misinterpreted as normal on the day of admission. Two days later, his blood pressure rose gradually and peripheral plasma renin activity showed more than 1,700 micro U/mL. Magnetic resonance angiography suggested renal artery stenosis. After successful percutaneous transluminal angioplasty, the patient was seizure-free and had well-controlled blood pressure. This case describes renal artery stenosis present with status epilepticus, and emphasizes the importance of serial measurements of blood pressure in children.
在儿童中，肾动脉狭窄是继发性高血压的一个不常见但重要的病因。在本报告中，作者描述了一名5岁男孩，他没有癫痫发作史，却经历了癫痫持续状态。发作后血压，即相对低血压，在入院当天被误判为正常。两天后，他的血压逐渐升高，外周血浆肾素活性显示超过1700微单位/毫升。磁共振血管造影提示肾动脉狭窄。经皮腔内血管成形术成功后，患者不再发作癫痫，血压得到良好控制。本病例描述了伴有癫痫持续状态的肾动脉狭窄，并强调了儿童定期测量血压的重要性。
