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Journal of the Korean Society of Pediatric Nephrology 1997;1(1): 73-78.
급성 연쇄상구균 감염후 사구체 신염에 동반된 고혈압성 뇌병증 3례의 MRI 소견
김형노, 윤성민, 김종신, 이창연
1고신의대 소아과학교실
2고신의대 신경과학교실
3고신의대 소아과학교실
4고신의대 소아과학교실
Three Cases of Hypertensive Encephalopathy in Acute Poststreptococcal Glomerulonephritis: MRI Findings
Hyoung-No Kim, Sung-Min Yoon, Jong-Shin Kim, Chang-Youn Lee
1Department of Pediatrics, Gospel Hospital of Kosin Medical College
2Department of Pediatrics, Gospel Hospital of Kosin Medical College
3Department of Pediatrics, Gospel Hospital of Kosin Medical College
4Department of Pediatrics, Gospel Hospital of Kosin Medical College
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ABSTRACT
The hypertensive encephalopathy is one of sudden convulsive cause in patients with acute post-streptococcal glomerulonephritis, but commonly, after the episode we can observe only mild to moderately hypertension in APSGN at ER. So these remains some question of what causes the convulsion in patients with APSGN. In this article, we report 3 cases of convulsion in APSGN with only moderate hypertension, the etiology of which proved to be due to hypertensive encephalopathy by the brain MRI. We believe that the brain MRI is a very useful test to diagnose the etiology of convulsion in APSGN and if brain edema in occipital lobe is detected by brain MRI, the convulsion would be due to hypertensive encephalopathy and the prognosis will be very good.
Key words: Post-streptococcal glomerulonephritis | Encephalopathy | MRI.
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