You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Coccygeal fracture, constipation, convulsion, and confusion: A case report of malignant hypertension in a child.

ZGURZYNSKI, PAUL MD; MANNO, MARIANN MD
Pediatric Emergency Care:
Illustrative Case: PDF Only
Abstract

Malignant hypertension is an unusual but well described cause of seizures in pediatrics. It is a medical emergency that must be recognized and emergently treated to prevent morbidity and mortality. In contrast to adults, hypertension in children is usually secondary to an underlying disease process. We present a complex case of hypertensive encephalopathy with seizures as the initial presentation of a pelvic mass, describe the initial work-up and stabilization and present an overview of the literature. Review of the medical literature described only one similar presentation (1). Interestingly, acute symptoms in this patient may have been precipitated by use of an over-the-counter medication.

(C) 1999 Lippincott Williams & Wilkins, Inc.