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Renal Artery Stenosis Presenting with Status Epilepticus: A Report of One Case
Author(s) -
Chen TsungYi,
Huang LiTung,
Liang ChiDi,
Ko SheungFat,
Fang ChihYuan
Publication year - 2002
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1197/aemj.9.12.1445
Subject(s) - medicine , renal artery stenosis , status epilepticus , blood pressure , stenosis , cardiology , magnetic resonance angiography , plasma renin activity , renal artery , epilepsy , angiography , anesthesia , magnetic resonance imaging , radiology , kidney , renin–angiotensin system , psychiatry
In children, renal artery stenosis is an uncommon but important cause of secondary hypertension. In this report, the authors describe a 5‐year‐old boy with no history of seizures who experienced status epilepticus. Postictal blood pressure, relative hypotension, was misinterpreted as normal on the day of admission. Two days later, his blood pressure rose gradually and peripheral plasma renin activity showed more than 1,700 μU/mL. Magnetic resonance angiography suggested renal artery stenosis. After successful percutaneous transluminal angioplasty, the patient was seizure‐free and had well‐controlled blood pressure. This case describes renal artery stenosis present with status epilepticus, and emphasizes the importance of serial measurements of blood pressure in children.