IMAGING OF PERSISTENT BRAIN DAMAGE FROM HYPERTENSIVE ENCEPHALOPATHY IN A CHILD WITH NEUROPSYCHIATRIC SYSTEMIC LUPUS ERYTHEMATOSUS (NPSLE) AND ALFA THALASSEMIA TRAIT, A CASE REPORT.
Keywords:Encephalopathy, Hypertension, NPSLE, Child, Thalassemia
An unusual case ofa neuropsychiatric systemic lupus erythematosus (NPSLE) child with hypertensive encephalopathy is presented. Despite the rare presentation of hypertensive encephalopathy in children, characteristic lesions in the brain should be recognized as possible manifestation of this condition. In contrast to other reports in which the brain damage was almost always reversible, we present a serial follow up images which demonstrate both reversible and irreversible brain damages. Brain lesions associated with hemorrhage, which MAY - AUG. 2004. Volume X Number II are seldom described in most reports, have less likelihood reversibility.
Jones BV, Egelhoff JC, Patterson RJ(1997) Hypertensive encephalopathy in children. AJNR, 18:101-106.
Nusbaum AO, Fung KM, Atlas SW (2002) White matter disease and inherited metabolic disorders. In: Atlas SW (eds) Magnetic Resonace Imaging of the brain and the spine. 3rd edn. Vol. 1 Lippincott Williams& Wilkins, Philadelphia, pp510-511
York DH Jr (2002) Magnetic resonance imaging of CNS disease, A teaching file. 2nd edn. Mosby, Missouri
Hart B, Sibbitt W, Kornfeld M, Schmidt P, Brooks W (2002) Neuropsychiatric Manifestations of lupus: Radiologic findings and pathological correlates; presented as a scientific exhibit at the 40 th Annual Meeting of the ASNR, Vancouver, Canada, May 13-17.
Richards A, Graham D, Bullock R (1998) Clinicopathological study of neurological complications due to hypertensive disorders of pregnancy. J Neurol Neurosurg Psychiatry, 51:416-421.
Sanders TG, Clayman DA, Samchez-Ramos L, Vines FS, Russo L(1991) Brain in eclampsia: MR imaging with clinical correlation. Radiology, 80:475-478.
: Schwartz RB, Jones KM, Kalina P, et al (1992) Hypertensive encephalopathy: findings on CT, MR imaging, and SPECT imaging in 14 cases. AJR,159:379-383.
Schwartz RB, Mulkern RV, Gudbjartsson H, etal (1998) Diffusion weighted MR imaging in hypertensive encephalopathy: clues to pathogenesis. AJNR, 19:859-862.
Coley SC, Poter DA, Calamante F, et al (1999) Quantitative MR diffusion mapping and cyclosporine-induced neurotoxicity. AJNR, 20:1507-1510.
Engelter SR, Petrella JR, Albert MJ, et al (1999) Assessment of cerebral microcirculation in patient with hypertensive encephalopathy using MR perfusion imaging. AJR, 173: 1491-1493.
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