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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 132 (1979), S. 141-146 
    ISSN: 1432-1076
    Keywords: Neurological complications ; Arterial hypertension children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The case histories of 125 children with hypertension and no apparent primary CNS disease were analyzed for neurological symptoms or complications. Eleven children had neurological symptoms of high blood pressure. In only one of these patients was the diagnosis of arterial hypertension made before the observation of the neurological findings. The symptoms were severe headache in eight children, convulsions and coma in four, hemiplegia in two, and impaired vision and apraxia in one child. Symptomatology was rapidly reversed by antihypertensive treatment in four children, while six had long-term stigmata and one child died in hypertensive crisis. Because elevated arterial pressure can cause severe neurological disease, routine blood pressure measurement in children—especially those with neurological symptomatology—is stressed.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 137 (1981), S. 343-345 
    ISSN: 1432-1076
    Keywords: Impaired weight gain ; Hypertension ; Infancy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Uhari, M. and Heikkinen, E. (Department of Paediatrics, University of Oulu, Oulu, Finland). An eight month old infant was admitted to hospital because of poor weight gain. During the hospitalization she became unconscious and had convulsions. On these occasions a high blood pressure (205/120 mm Hg) was measured. In further evaluation of the hypertension, high plasma renin activity (32.8 ug/l/h) with a high serum aldosterone concentration (13000 pmol/l) was measured. Because of these findings renal angiography was performed: this revealed a stenosis of the left renal artery. A reconstruction of the renal artery was performed by a microsurgical technique and nine months after the operation the child was only mildly hypertensive but still required antihypertensive medication (propranolol 10 mg×3, hydralazine 5 mg×2): with this treatment her blood pressure was 110/80 mm Hg. After the operation her weight rose from below 2.5 percentile to the 10th percentile. The importance of blood pressure measurement in all children and infants admitted to hospital, regardless of their symptoms, is stressed.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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