一名三岁儿童以癫痫持续状态为表现的高血压脑病。
Hypertensive encephalopathy presenting as status epilepticus in a three year old.
作者信息
Sanford Erica F, Stein John C
机构信息
Department of Emergency Medicine, University of California, San Francisco Medical Center, San Francisco, California 94143, USA.
出版信息
J Emerg Med. 2012 Jun;42(6):e141-5. doi: 10.1016/j.jemermed.2011.05.062. Epub 2011 Sep 8.
BACKGROUND
Hypertensive encephalopathy is one of the few neurologic emergencies in which prompt diagnosis and treatment can prevent permanent neurological damage. This syndrome is rarely seen in children.
OBJECTIVES
To discuss the recognition of hypertensive encephalopathy as a cause of acute neurological changes in children.
CASE REPORT
We present the case of a 3-year-old boy who presented to the Emergency Department with seizures due to hypertensive encephalopathy. A review of the literature on the subject follows the case report.
CONCLUSIONS
Hypertensive encephalopathy is a rare cause of acute neurological changes in children that can cause permanent damage if not recognized early. This case illustrates the importance of considering this syndrome as a potential cause of neurological symptoms, especially as neuroimaging can initially be misleading.
背景
高血压脑病是少数几种及时诊断和治疗可预防永久性神经损伤的神经系统急症之一。该综合征在儿童中很少见。
目的
探讨将高血压脑病识别为儿童急性神经功能改变病因的相关问题。
病例报告
我们报告一例3岁男孩因高血压脑病导致癫痫发作而就诊于急诊科的病例。病例报告后对该主题的文献进行了综述。
结论
高血压脑病是儿童急性神经功能改变的罕见病因，若不及早识别可导致永久性损害。本病例说明了将该综合征视为神经症状潜在病因的重要性，尤其是因为神经影像学检查最初可能会产生误导。
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