Baykan Ali, Argun Mustafa, Ozyurt Abdullah, Pamukçu Ozge, Uzüm Kazım, Narın Nazmi
Division of Pediatric Cardiology, Department of Pediatrics, Erciyes University Medical Faculty, Melikgazi, 38039 Kayseri, Turkey.
Case Rep Pediatr. 2013;2013:716438. doi: 10.1155/2013/716438. Epub 2013 Sep 5.
Coarctation of the aorta (CoA) can present with different clinical pictures depending on the severity of the narrowness in the coarcted aortic segment in an age range between newborn and adolescence. Sometimes, it can cause intracranial hemorrhage or infarction when diagnosis and treatment are delayed. The aim of this report is taking attention to CoA as a cause of systemic hypertension and is also emphasizing the differences of diagnostic approach for hypertension in children from adults. Two cases of hypertensive cerebral hemorrhage and one case of hypertensive cerebellar infarction associated with CoA are reported. These cases help us to pay attention to the possibility of CoA in adolescents with hypertensive stroke. We want to emphasize the importance of physical examination for evaluation of hypertension and to impress the diagnostic approach for secondary hypertension in children.
主动脉缩窄（CoA）在新生儿至青少年年龄段，根据缩窄主动脉段狭窄的严重程度，可呈现不同的临床表现。有时，诊断和治疗延迟时可导致颅内出血或梗死。本报告的目的是提醒注意CoA作为系统性高血压的病因，并强调儿童高血压诊断方法与成人的差异。报告了2例与CoA相关的高血压性脑出血和1例高血压性小脑梗死。这些病例有助于我们关注高血压性卒中青少年患者CoA的可能性。我们想强调体格检查对评估高血压的重要性，并铭记儿童继发性高血压的诊断方法。
