Posterior Reversible Encephalopathy Syndrome Following Failure of Conservative Management in Renal Trauma: Case Report
| Autor: | Marie Tanzer, David J. Chalmers, William C. Daly, Thomas Q. Reynolds |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Conservative management Urology medicine.medical_treatment 030232 urology & nephrology Conservative Treatment Kidney Wounds Nonpenetrating 03 medical and health sciences 0302 clinical medicine Blunt medicine Humans Treatment Failure Embolization business.industry Posterior reversible encephalopathy syndrome Effective management medicine.disease Nephrectomy Surgery medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Abdomen Posterior Leukoencephalopathy Syndrome business |
| Zdroj: | Urology. 145:247-249 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2020.05.059 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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