A Case of Fibromuscular Dysplasia Associated with Hypertensive Encephalopathy.
- Author:
Ju Suk LEE
1
;
Sang Nam BAE
;
Sang Ook NAM
;
Su Young KIM
;
Hee Ju PARK
Author Information
1. Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Fibromuscular dysplasia;
Hypertensive encephalopathy
- MeSH:
Aneurysm;
Angiography;
Angioplasty;
Arteries;
Blood Pressure;
Brain;
Catheters;
Child;
Constriction, Pathologic;
Female;
Fibromuscular Dysplasia*;
Headache;
Humans;
Hypertension;
Hypertension, Renovascular;
Hypertensive Encephalopathy*;
Magnetic Resonance Imaging;
Renal Artery;
Seizures
- From:Journal of the Korean Pediatric Society
2000;43(5):715-719
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fibromuscular dysplasia is the single leading etiology of renovascular hypertension in children. We report an eight-year-old girl who was admitted for generalized tonic seizure with fibromuscular dysplasia of right renal artery. On admission, she presented hypertension and altered mentality. She had suffered from intermittent severe headache for the past year. Renal angiography of right renal artery showed stenosis, beaded pattern and aneurysms. Brain MRI showed multifocal lesions in parietooccipital, periventricular and external capsular area. She was diagnosed as hypertensive encephalopathy due to fibromuscular dysplasia of renal the artery. Renal angioplasty with ballooning catheter was performed. Successful renal angioplasty dropped her blood pressure to normal level and no more headaches has occurred for more than a year after discharge.
