Posterior Reversible Encephalopathy Syndrome Following Failure of Conservative Management in Renal Trauma: Case Report.

Autor: Daly WC; Maine Medical Center Department of Urology, Tufts University School of Medicine. Electronic address: william_conor.daly@tufts.edu., Reynolds T; Maine Medical Center Department of Pediatric Neurology, Tufts University School of Medicine., Tanzer M; Maine Medical Center Department of Pediatric Nephrology, Tufts University School of Medicine., Chalmers DJ; Maine Medical Center Department of Urology, Tufts University School of Medicine.
Jazyk: angličtina
Zdroj: Urology [Urology] 2020 Nov; Vol. 145, pp. 247-249. Date of Electronic Publication: 2020 Jun 10.
DOI: 10.1016/j.urology.2020.05.059
Abstrakt: Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The resulting continued hypertension, as well as endothelial disruption, resulted in PRES as manifested by a single instance of generalized seizure. The patient regained normal neurological function following nephrectomy. Better understanding of the potential for acute hypertensive crisis resulting in PRES in the urology community may result in more urgent and effective management in these scenarios.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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