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一例由周期性呕吐综合征诱发高血压导致的后部可逆性脑病综合征病例。

A Case of Cyclic Vomiting Syndrome-Induced Hypertension Causing Posterior Reversible Encephalopathy Syndrome.

作者信息

Beckman Madeline, Lendner Nuphar, Sferra Thomas J, Moses Jonathan

机构信息

From the Case Western Reserve University School of Medicine, Cleveland, OH.

Division of Pediatric Gastroenterology, Hepatology and Nutrition, UH Rainbow Babies Children's Hospital, Cleveland, OH.

出版信息

JPGN Rep. 2023 Feb 28;4(2):e294. doi: 10.1097/PG9.0000000000000294. eCollection 2023 May.

DOI:10.1097/PG9.0000000000000294
PMID:37200718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10187832/
Abstract

Cyclic vomiting syndrome (CVS) is characterized by repeated episodes of vomiting in a stereotyped pattern and is a known cause of hypertension. Our patient is a 10-year-old female who presented with nonbilious, nonbloody vomiting, and constipation concerning for a flare of her known CVS. During the hospital course, she developed intermittent severe hypertensive episodes, leading to an acute episode of altered mental status and a tonic-clonic seizure. Magnetic resonance imaging confirmed diagnosis of posterior reversible encephalopathy syndrome (PRES) after eliminating other organic etiologies. This is one of the first documented cases of CVS-induced hypertension causing PRES.

摘要

周期性呕吐综合征（CVS）的特征是反复出现刻板模式的呕吐发作，是已知的高血压病因。我们的患者是一名10岁女性，表现为非胆汁性、非血性呕吐及便秘，怀疑已知的CVS发作。在住院期间，她出现间歇性严重高血压发作，导致急性精神状态改变和强直阵挛性癫痫发作。排除其他器质性病因后，磁共振成像确诊为后部可逆性脑病综合征（PRES）。这是首批记录在案的由CVS诱发高血压导致PRES的病例之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c78/10187832/f0c405bc2a6a/pg9-4-e294-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c78/10187832/13949f222e5d/pg9-4-e294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c78/10187832/f0c405bc2a6a/pg9-4-e294-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c78/10187832/13949f222e5d/pg9-4-e294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c78/10187832/f0c405bc2a6a/pg9-4-e294-g002.jpg

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本文引用的文献

1
Childhood Posterior Reversible Encephalopathy Syndrome: Clinicoradiological Characteristics, Managements, and Outcome.儿童后部可逆性脑病综合征：临床放射学特征、治疗及预后
Front Pediatr. 2020 Sep 11;8:585. doi: 10.3389/fped.2020.00585. eCollection 2020.
2
Managing cyclic vomiting syndrome in children: beyond the guidelines.管理儿童周期性呕吐综合征：超越指南。
Eur J Pediatr. 2018 Oct;177(10):1435-1442. doi: 10.1007/s00431-018-3218-7. Epub 2018 Aug 3.
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Acute episode of cyclic vomiting syndrome preceded by arterial hypertension – Case presentation and review.
以动脉高血压为前驱症状的周期性呕吐综合征急性发作——病例报告与文献复习
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Recurrent attacks of vomiting, hypertension and psychotic depression: a syndrome of periodic catecholamine and prostaglandin discharge.反复出现的呕吐、高血压和精神病性抑郁：一种周期性儿茶酚胺和前列腺素释放综合征。
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