一名患有抗肾小球基底膜病的30岁男性出现高血压急症和癫痫发作。
Hypertensive emergency and seizures in a 30-year-old man with anti-glomerular basement membrane disease.
作者信息
Mascola Michael, Karmali Rehan, Mathews Joshua, Obligado Sergio
机构信息
Touro College of Osteopathic Medicine Middletown NY USA.
Garnet Health Medical Center Middletown NY USA.
出版信息
Clin Case Rep. 2020 Oct 20;8(12):3322-3327. doi: 10.1002/ccr3.3361. eCollection 2020 Dec.
Abstract
Anti-glomerular basement membrane disease can rapidly lead to renal failure and blood pressure dysregulation. A rare complication is hypertensive encephalopathy in the form of seizures. Patients who have a negative initial seizure workup should have an MRI. These patients need tight blood pressure control and monitoring to prevent future seizures.
摘要
抗肾小球基底膜病可迅速导致肾衰竭和血压失调。一种罕见的并发症是以癫痫发作形式出现的高血压脑病。初始癫痫检查结果为阴性的患者应进行磁共振成像（MRI）检查。这些患者需要严格控制血压并进行监测，以预防未来的癫痫发作。
相似文献
1
Hypertensive emergency and seizures in a 30-year-old man with anti-glomerular basement membrane disease.
Clin Case Rep. 2020 Oct 20;8(12):3322-3327. doi: 10.1002/ccr3.3361. eCollection 2020 Dec.
2
Anti-glomerular basement membrane antibody disease complicated by posterior reversible encephalopathy syndrome.
Mod Rheumatol Case Rep. 2021 Jan;5(1):162-166. doi: 10.1080/24725625.2020.1816640. Epub 2020 Oct 26.
3
Anti-glomerular basement membrane disease superimposed on membranous nephropathy: a case report and review of the literature.
J Med Case Rep. 2010 Aug 2;4:237. doi: 10.1186/1752-1947-4-237.
4
Goodpasture's syndrome with absence of circulating anti-glomerular basement membrane antibodies: a case report.
J Med Case Rep. 2016 Jul 27;10:205. doi: 10.1186/s13256-016-0984-6.
5
Unusual Case of Posterior Reversible Encephalopathy Syndrome in a Patient with Anti-glomerular Basement Membrane Antibody Glomerulonephritis: A Case Report and Review of the Literature.
Electrolyte Blood Press. 2017 Sep;15(1):12-16. doi: 10.5049/EBP.2017.15.1.12. Epub 2017 Sep 30.
6
Anti-Glomerular Basement Membrane Disease Combined with IgA Nephropathy Complicated with Reversible Posterior Leukoencephalopathy Syndrome: An Unusual Case.
Am J Case Rep. 2015 Dec 1;16:849-53. doi: 10.12659/ajcr.894619.
7
Anti-glomerular and anti-tubular basement membrane nephritis in a renal allograft recipient with Alport's syndrome.
Arch Pathol Lab Med. 1994 Jul;118(7):728-31.
8
End-stage renal disease secondary to anti-glomerular basement membrane disease in a child with common variable immunodeficiency.
Clin Nephrol Case Stud. 2019 Feb 1;7:1-6. doi: 10.5414/CNCS109510. eCollection 2019.
9
Anti-Glomerular Basement Membrane Disease.
Clin J Am Soc Nephrol. 2017 Jul 7;12(7):1162-1172. doi: 10.2215/CJN.01380217. Epub 2017 May 17.
10
Nephrotic syndrome due to minimal-change disease superimposed on anti-glomerular basement membrane antibody positive glomerulonephritis; a case report.
BMC Nephrol. 2020 Jul 17;21(1):283. doi: 10.1186/s12882-020-01947-x.
本文引用的文献
1
Acute Severe Hypertension.
N Engl J Med. 2019 Nov 7;381(19):1843-1852. doi: 10.1056/NEJMcp1901117.
2
Interictal cardiac repolarization abnormalities in people with epilepsy.
Epilepsy Behav. 2018 Feb;79:106-111. doi: 10.1016/j.yebeh.2017.10.028. Epub 2017 Dec 20.
3
Community-based rehabilitation offers cost-effective epilepsy treatment in rural Guinea-Bissau.
Epilepsy Behav. 2018 Feb;79:23-25. doi: 10.1016/j.yebeh.2017.11.009. Epub 2017 Dec 12.
4
The nature, consequences, and management of neurological disorders in chronic kidney disease.
Hemodial Int. 2018 Apr;22(2):150-160. doi: 10.1111/hdi.12587. Epub 2017 Aug 11.
5
Treatment of hypertensive emergencies.
Ann Transl Med. 2017 May;5(Suppl 1):S5. doi: 10.21037/atm.2017.03.34.
6
Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.
J Clin Hypertens (Greenwich). 2017 Jul;19(7):704-712. doi: 10.1111/jch.13026. Epub 2017 May 30.
7
Anti-Glomerular Basement Membrane Disease.
Clin J Am Soc Nephrol. 2017 Jul 7;12(7):1162-1172. doi: 10.2215/CJN.01380217. Epub 2017 May 17.
8
Cerebral Blood Flow Autoregulation and Dysautoregulation.
Anesthesiol Clin. 2016 Sep;34(3):465-77. doi: 10.1016/j.anclin.2016.04.002.
9
High blood pressure in dialysis patients: cause, pathophysiology, influence on morbidity, mortality and management.
J Clin Diagn Res. 2014 Jun;8(6):ME01-4. doi: 10.7860/JCDR/2014/8253.4471. Epub 2014 Jun 20.
10
First seizures in adults.
BMJ. 2014 Apr 15;348:g2470. doi: 10.1136/bmj.g2470.
Zotero 插件