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Childhood hypertension, sixth nerve palsy, and renal artery stenosis

This short report demonstrates an uncommon presentation of intracranial bleeding and sixth nerve palsy in a child with systemic hypertension due to long-standing unilateral renal artery stenosis of unknown etiology that resulted in contracture of the affected kidney and compensatory hypertrophy of t...

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Autores principales: Madan, Siddharth, Chaudhuri, Zia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351971/
https://www.ncbi.nlm.nih.gov/pubmed/35937747
http://dx.doi.org/10.4103/ojo.ojo_161_21
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author Madan, Siddharth
Chaudhuri, Zia
author_facet Madan, Siddharth
Chaudhuri, Zia
author_sort Madan, Siddharth
collection PubMed
description This short report demonstrates an uncommon presentation of intracranial bleeding and sixth nerve palsy in a child with systemic hypertension due to long-standing unilateral renal artery stenosis of unknown etiology that resulted in contracture of the affected kidney and compensatory hypertrophy of the contralateral kidney. Structural renal damage and cardiac ventricular hypertrophy suggested the pathology and ensuing hypertension to be long-standing; however, renal function tests were normal at presentation. The importance of routine outpatient evaluation of systemic blood pressure in children, similar to adults, so as to diagnose and treat secondary hypertension and its causes early, before further systemic and neurological complications set in, is emphasized. The primary neuro-ophthalmological clinical presentation of the child with subsequent confluence of major pediatric domains of medicine, surgery, neurology, cardiology, nephrology, interventional radiology, and ophthalmology toward optimum multidisciplinary etiological and symptomatic management of the condition and its sequelae and subsequent rehabilitation is described.
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spelling pubmed-93519712022-08-05 Childhood hypertension, sixth nerve palsy, and renal artery stenosis Madan, Siddharth Chaudhuri, Zia Oman J Ophthalmol Case Report This short report demonstrates an uncommon presentation of intracranial bleeding and sixth nerve palsy in a child with systemic hypertension due to long-standing unilateral renal artery stenosis of unknown etiology that resulted in contracture of the affected kidney and compensatory hypertrophy of the contralateral kidney. Structural renal damage and cardiac ventricular hypertrophy suggested the pathology and ensuing hypertension to be long-standing; however, renal function tests were normal at presentation. The importance of routine outpatient evaluation of systemic blood pressure in children, similar to adults, so as to diagnose and treat secondary hypertension and its causes early, before further systemic and neurological complications set in, is emphasized. The primary neuro-ophthalmological clinical presentation of the child with subsequent confluence of major pediatric domains of medicine, surgery, neurology, cardiology, nephrology, interventional radiology, and ophthalmology toward optimum multidisciplinary etiological and symptomatic management of the condition and its sequelae and subsequent rehabilitation is described. Wolters Kluwer - Medknow 2022-06-29 /pmc/articles/PMC9351971/ /pubmed/35937747 http://dx.doi.org/10.4103/ojo.ojo_161_21 Text en Copyright: © 2022 Oman Ophthalmic Society https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Madan, Siddharth
Chaudhuri, Zia
Childhood hypertension, sixth nerve palsy, and renal artery stenosis
title Childhood hypertension, sixth nerve palsy, and renal artery stenosis
title_full Childhood hypertension, sixth nerve palsy, and renal artery stenosis
title_fullStr Childhood hypertension, sixth nerve palsy, and renal artery stenosis
title_full_unstemmed Childhood hypertension, sixth nerve palsy, and renal artery stenosis
title_short Childhood hypertension, sixth nerve palsy, and renal artery stenosis
title_sort childhood hypertension, sixth nerve palsy, and renal artery stenosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351971/
https://www.ncbi.nlm.nih.gov/pubmed/35937747
http://dx.doi.org/10.4103/ojo.ojo_161_21
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