Wright R R, Mathews K D
Department of Pediatrics, University of Iowa College of Medicine, Iowa City 52242-1083, USA.
J Child Neurol. 1996 May;11(3):193-6. doi: 10.1177/088307389601100305.
Hypertensive encephalopathy is an uncommon but recognized complication of malignant hypertension in children. We reviewed the clinical course, laboratory studies, and outcomes of 12 patients with hypertensive encephalopathy seen at the University of Iowa Hospitals and Clinics between 1979 and 1994. The most common presenting symptoms were seizures, headache, and vision changes. Laboratory studies were nonspecific and in some patients were normal. Hypertensive encephalopathy is a clinical diagnosis. Management consists of recognition of this syndrome and aggressive treatment of hypertension. The neurologic outcome in our series was good.
高血压脑病是儿童恶性高血压一种罕见但已被认知的并发症。我们回顾了1979年至1994年间在爱荷华大学医院及诊所就诊的12例高血压脑病患者的临床病程、实验室检查及治疗结果。最常见的首发症状是癫痫发作、头痛和视力改变。实验室检查无特异性，部分患者检查结果正常。高血压脑病是一种临床诊断。治疗包括识别该综合征并积极治疗高血压。我们系列病例中的神经学预后良好。
