Hypertensive encephalopathy as a late complication of autonomic dysreflexia in a 12-year-old boy with a previous spinal cord injury

Eur J Pediatr. 2014 Dec;173(12):1683-4. doi: 10.1007/s00431-014-2281-y. Epub 2014 Feb 18.

Abstract

The scope of paediatric autonomic disorders is not well recognised, and paediatricians seem to be generally unaware of the complexity and diversity of their clinical manifestations. We report a 12-year-old boy presenting with hypertensive encephalopathy caused by autonomic dysreflexia.

Conclusion: This observation emphasises the importance of the recognition of this rare autonomic disorder, which can have potentially life-threatening neurological complications.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autonomic Dysreflexia / complications*
  • Autonomic Dysreflexia / diagnosis
  • Blood Pressure*
  • Cervical Vertebrae
  • Child
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Hypertensive Encephalopathy / diagnosis
  • Hypertensive Encephalopathy / etiology*
  • Hypertensive Encephalopathy / physiopathology
  • Magnetic Resonance Imaging
  • Male
  • Spinal Cord Injuries / complications*
  • Spinal Cord Injuries / diagnosis
  • Thoracic Vertebrae