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[Hypertensive encephalopathy associated to repetitive seizures: case report].

Abstract
Five years old, female, who started with tonic-clonic seizures on the right side of the body, with vomits and unconsciousness. The patient had been hospitalized for eight times in the last sixty days because of seizures. At physical exam, she had a severe arterial hypertension (270/140 mmHg). The computerized tomographic scan and magnetic resonance imaging revealed hypodense areas, mainly on the right parietal-temporal region, suggesting presence of edema. The angiography showed stenosis of the right renal artery, that was the cause of arterial hypertension. After the control of arterial hypertension by nephrectomy, the patient had a complete remission of the symptoms, as well as the images anomalies.
AuthorsS A Antoniuk, I Bruck, R L Morais, F B Navolar, E Meister, A Spessatto
JournalArquivos de neuro-psiquiatria (Arq Neuropsiquiatr) Vol. 58 Issue 2A Pg. 351-5 (Jun 2000) ISSN: 0004-282X [Print] Germany
Vernacular TitleEncefalopatia hipertensiva associada a estado de mal epiléptico de repetição: relato de caso.
PMID10849640 (Publication Type: Case Reports, Journal Article)
Topics
  • Angiography
  • Child, Preschool
  • Female
  • Humans
  • Hypertensive Encephalopathy (diagnostic imaging, etiology, surgery)
  • Nephrectomy
  • Renal Artery Obstruction (complications, diagnostic imaging, surgery)
  • Seizures (etiology)
  • Status Epilepticus (etiology, surgery)
  • Tomography, X-Ray Computed

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