Atypical aspects of hypertensive encephalopathy in childhood.
Autor(es): Del Giudice E,Aicardi J
Resumo: Four patients with hypertensive encephalopathy and misleading focal symptomatology are reported in order to point out the problems of differential diagnosis. The first patient, together with a classical syndrome of hypertensive encephalopathy, had peculiar EEG features consistent with a possible diagnosis of herpes simplex encephalitis. Case 2 presented with a complex clinical syndrome associating bizarre spells suggestive of a psychiatric condition with ocular symptoms pointing to an upper brain stem involvement. The third child was remarkable because of the presence of neuroradiological signs compatible with a space-occupying lesion of the posterior fossa not eventually found after a surgical exploration performed as an emergency procedure. The last patient had central nervous system signs in the context of a Guillain-Barré syndrome: in this case the central symptomatology would not fit the already described pattern of encephalomyelo-radiculo-neuropathy but had to be entirely ascribed to the ill controlled arterial hypertension.
Imprenta: Neuropa?diatrie, v. 10, n. 2, p. 150-157, 1979
Identificador do objeto digital: 10.1055/s-0028-1085321
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 1979
