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      Renovascular hypertension: a case with atypical neurological signs

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          Abstract

          Secondary hypertension is the most frequent form of hypertension in children. Renovascular disease accounts for 5–10% of all childhood hypertension and should be suspected in the presence of severe hypertension found difficult to manage with medical therapy. Uncontrolled hypertension can lead to severe target organ damage. We describe the case of a 13-month-old baby boy with failure to thrive, recent muscular weakness of the lower extremities and irritability. Hypertension was detected and he was admitted to the paediatric intensive care unit with a refractory hypertensive emergency, despite multiple antihypertensive therapies. Bilateral renal artery stenosis was diagnosed through renal angiography and balloon dilation was performed, leading to lower blood pressure. He is currently withdrawing from antihypertensive medication, and slowly gaining weight and recovering from target organ damage. However, weakness of the lower extremities persists and he has been diagnosed with a neurogenic bladder.

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          Author and article information

          Journal
          BMJ Case Rep
          BMJ Case Rep
          casereports
          bmjcasereports
          BMJ Case Reports
          BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
          1757-790X
          2015
          8 September 2015
          : 2015
          Affiliations
          [1 ] Hospital Pediátrico de Coimbra , Coimbra, Portugal
          [2 ] Pediatric Intensive Care Unit, Hospital Pediátrico de Coimbra , Coimbra, Portugal
          [3 ] Department of Paediatric Nephrology, Hospital Pediátrico de Coimbra , Coimbra, Portugal
          Author notes
          [Correspondence to ] Dr Mónica Jerónimo, monica.djeronimo@ 123456gmail.com
          Article
          PMC4567731 PMC4567731 4567731 bcr-2014-208336
          10.1136/bcr-2014-208336
          4567731
          26351310
          2015 BMJ Publishing Group Ltd
          Categories
          Article
          Rare Disease
          1523
          Male
          1-5 years
          White
          Europe (West)
          Case Report

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