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A Case of Fibromuscular Dysplasia Associated with Hypertensive Encephalopathy

Journal of the Korean Pediatric Society 2000;43(5):715-719.
Published online May 15, 2000.
A Case of Fibromuscular Dysplasia Associated with Hypertensive Encephalopathy
Ju Suk Lee, Sang Nam Bae, Sang Ook Nam, Su Young Kim, Hee Ju Park
Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea
고혈압성 뇌증을 동반한 섬유근성 이형성증 1례
이주석, 배상남, 남상욱, 김수영, 박희주
부산대학교 의과대학 소아과학교실
Fibromuscular dysplasia is the single leading etiology of renovascular hypertension in children. We report an eight-year-old girl who was admitted for generalized tonic seizure with fibromuscular dysplasia of right renal artery. On admission, she presented hypertension and altered mentality. She had suffered from intermittent severe headache for the past year. Renal angiography of right renal artery showed stenosis, beaded pattern and aneurysms. Brain MRI showed multifocal lesions in parietooccipital, periventricular and external capsular area. She was diagnosed as hypertensive encephalopathy due to fibromuscular dysplasia of renal the artery. Renal angioplasty with ballooning catheter was performed. Successful renal angioplasty dropped her blood pressure to normal level and no more headaches has occurred for more than a year after discharge.
Key Words: Fibromuscular dysplasia, Hypertensive encephalopathy

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