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Childhood Hypertension (childhood + hypertension)
Selected AbstractsFacial paralysis in childhood hypertensionJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 2 2001UH Tirodker [source] Diagnosis And Treatment Of Hypertension In Children And AdolescentsJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 2 2003Rosalind M. Peters PhD Purpose To provide nurse practitioners (NPs) with updated information regarding the etiology, diagnosis,and treatment of childhood hypertension. Data Sources Extensive review of the scientific literature regarding hypertension, including the latest NIH recommendations. Conclusions Hypertension affects more than 350,000 American children. While the majority of hypertension in early childhood occurs from secondary causes, the incidence of essential hypertension in later childhood and adolescence is rising, raising concerns as elevated pressures in childhood "track" into adulthood. Early detection and treatment of elevated childhood pressures represent important steps in reducing long-term cardiovascular risk. Implications for Practice NPs must be able to accurately differentiate between primary and secondary hypertension in childhood. Secondary hypertension requires prompt diagnosis and treatment, and controlling primary childhood hypertension has life-long implications. Given the familial predispo-sition to hypertension, it is important for adult NPs to be aware of the risks faced by children of hypertensive patients. [source] Reversible brain lesions in childhood hypertensionACTA PAEDIATRICA, Issue 9 2002P Singhi Posterior leukoencephalopathy syndrome is characterized by an acute, usually reversible, encephalopathy with transient occipital lobe abnormalities detected on MRI that occur mostly in association with acute hypertension. The clinical presentation includes seizures, headache, altered mental status and blindness. Disturbed autoregulation of cerebral blood flow and endothelial injury are central to the pathogenesis of this disorder. Prompt control of hypertension results in rapid and complete neurological recovery. In this report we discuss the cases of two children with acute onset hypertension of different aetiologies that presented with the characteristic features of posterior leukoencephalopathy syndrome. Conclusion: Early recognition of this readily treatable condition may obviate the need for extensive and invasive investigations. Despite the alarming lesions on the MRI, prompt control of hypertension carries a uniformly favourable prognosis. [source] | ||||||||||