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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Acute glomerulonephritis presenting with PRES: a report of 4 cases.
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Acute glomerulonephritis presenting with PRES: a report of 4 cases.

机译：急性肾小球肾炎合并PRES：4例报告。

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摘要

OBJECTIVE: Posterior reversible encephalopathy syndrome (PRES) occurs most commonly in the setting of known hypertension or use of immunosuppressive agents. DESIGN AND METHODS: We report four previously-well children who presented acutely with altered mentation, seizures and visual disturbances and were diagnosed with PRES. RESULTS: Only one child had a history of gross hematuria prior to the seizure. All four were discovered to be hypertensive only after onset of their neurological symptoms, and were subsequently diagnosed with glomerulonephritis. All four had rapid resolution of neurological symptoms with adequate treatment of hypertension. CONCLUSIONS: Blood pressure must be measured promptly in all children presenting with these symptoms. If elevated, the diagnosis of PRES should be strongly considered and a workup for renal disease pursued.
机译：目的：后可逆性脑病综合征（PRES）最常发生在已知的高血压或使用免疫抑制剂的情况下。设计与方法：我们报告了四名先前居住的儿童，他们表现出精神错乱，癫痫发作和视力障碍，并被诊断出患有PRES。结果：癫痫发作前只有一名儿童有肉眼血尿史。仅在他们的神经系统症状发作后才发现这四个人都患有高血压，随后被诊断出患有肾小球肾炎。四个人均能快速缓解神经系统症状，并能适当治疗高血压。结论：所有出现这些症状的儿童必须及时测量血压。如果升高，则应强烈考虑对PRES的诊断，并对肾脏疾病进行检查。

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