Posterior Reversible Encephalopathy Syndrome Following Failure of Conservative Management in Renal Trauma: Case Report
Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The re...
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| Published in | Urology (Ridgewood, N.J.) Vol. 145; pp. 247 - 249 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.11.2020
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| Abstract | Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The resulting continued hypertension, as well as endothelial disruption, resulted in PRES as manifested by a single instance of generalized seizure. The patient regained normal neurological function following nephrectomy. Better understanding of the potential for acute hypertensive crisis resulting in PRES in the urology community may result in more urgent and effective management in these scenarios. |
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| AbstractList | Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The resulting continued hypertension, as well as endothelial disruption, resulted in PRES as manifested by a single instance of generalized seizure. The patient regained normal neurological function following nephrectomy. Better understanding of the potential for acute hypertensive crisis resulting in PRES in the urology community may result in more urgent and effective management in these scenarios. |
| Author | Tanzer, Marie Daly, William C. Chalmers, David J. Reynolds, Thomas |
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| References_xml | – volume: 68 start-page: 147 year: 2017 end-page: 153 ident: bib0009 article-title: Posterior reversible encephalopathy syndrome: a review publication-title: Can Assoc Radiol J contributor: fullname: Banfield – volume: 23 start-page: 8191 year: 2016 end-page: 8197 ident: bib0002 article-title: Contemporary evaluation and managment of renal trauma publication-title: Can J Urol contributor: fullname: Hyacinthe – volume: 113 start-page: 171 year: 2018 end-page: 178 ident: bib0003 article-title: Renal trauma in pediatrics: a current review publication-title: Urology contributor: fullname: Fernández-Ibieta – volume: 264 start-page: 1608 year: 2017 end-page: 1616 ident: bib0010 article-title: Posterior reversible encephalopathy syndrome publication-title: J Neurol contributor: fullname: Schmutzhard – volume: 202 start-page: 994 year: 2019 end-page: 1000 ident: bib0004 article-title: Renal trauma classification and management: validating the revised renal injury grading scale publication-title: J Urol contributor: fullname: Buckley – volume: 18 start-page: 23 year: 2017 ident: bib0001 article-title: Management of pediatric grade IV renal trauma publication-title: Curr Urol Rep contributor: fullname: Copp – volume: 49 start-page: 1793 year: 2017 end-page: 1800 ident: bib0007 article-title: Posterior reversible encephalopathy syndrome in children with kidney disease publication-title: Int Urol Nephrol contributor: fullname: Starcea – volume: 19 year: 2018 ident: bib0006 article-title: Renal embolization: current recommendations and rationale publication-title: Curr Oncol Rep contributor: fullname: Tiwari – volume: 202 start-page: 994 year: 2019 ident: 10.1016/j.urology.2020.05.059_bib0004 article-title: Renal trauma classification and management: validating the revised renal injury grading scale publication-title: J Urol doi: 10.1097/JU.0000000000000358 contributor: fullname: Ballon-Land – volume: 23 start-page: 8191 year: 2016 ident: 10.1016/j.urology.2020.05.059_bib0002 article-title: Contemporary evaluation and managment of renal trauma publication-title: Can J Urol contributor: fullname: Chouhan – ident: 10.1016/j.urology.2020.05.059_bib0005 doi: 10.1038/nrneph.2014.231 – volume: 49 start-page: 1793 year: 2017 ident: 10.1016/j.urology.2020.05.059_bib0007 article-title: Posterior reversible encephalopathy syndrome in children with kidney disease publication-title: Int Urol Nephrol doi: 10.1007/s11255-017-1684-x contributor: fullname: Gavrilovici – volume: 113 start-page: 171 year: 2018 ident: 10.1016/j.urology.2020.05.059_bib0003 article-title: Renal trauma in pediatrics: a current review publication-title: Urology doi: 10.1016/j.urology.2017.09.030 contributor: fullname: Fernández-Ibieta – volume: 19 year: 2018 ident: 10.1016/j.urology.2020.05.059_bib0006 article-title: Renal embolization: current recommendations and rationale publication-title: Curr Oncol Rep contributor: fullname: Ramaswamy – volume: 68 start-page: 147 year: 2017 ident: 10.1016/j.urology.2020.05.059_bib0009 article-title: Posterior reversible encephalopathy syndrome: a review publication-title: Can Assoc Radiol J doi: 10.1016/j.carj.2016.08.005 contributor: fullname: Shankar – volume: 264 start-page: 1608 year: 2017 ident: 10.1016/j.urology.2020.05.059_bib0010 article-title: Posterior reversible encephalopathy syndrome publication-title: J Neurol doi: 10.1007/s00415-016-8377-8 contributor: fullname: Fischer – ident: 10.1016/j.urology.2020.05.059_bib0008 doi: 10.1016/j.ejpn.2015.07.005 – volume: 18 start-page: 23 year: 2017 ident: 10.1016/j.urology.2020.05.059_bib0001 article-title: Management of pediatric grade IV renal trauma publication-title: Curr Urol Rep doi: 10.1007/s11934-017-0665-z contributor: fullname: Murphy |
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| SubjectTerms | Child, Preschool Conservative Treatment Humans Kidney - injuries Male Posterior Leukoencephalopathy Syndrome - etiology Treatment Failure Wounds, Nonpenetrating - complications Wounds, Nonpenetrating - therapy |
| Title | Posterior Reversible Encephalopathy Syndrome Following Failure of Conservative Management in Renal Trauma: Case Report |
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