Portal hypertension in patients with cirrhosis is the cause of many dangerous complications, such as hepatic encephalopathy, ascites, and gastro-oesophageal variceal bleeding. Gastrooesophageal variceal bleeding is the cause of more than one-third of deaths in patients with liver cirrhosis [3]. H.pylori infection has a role in some diseases as peptic ulcer [4] portal hypertensive gastropathy [5...

Systemic hypertension is uncommon in children. It is usually secondary to underlying diseases. Here, we present an 11-year-old boy suffering from critical renal artery stenosis with unusual initial presentation of status epilepticus and hypertensive cerebellar encephalopathy. Angiography revealed bilateral renal arteries fibromuscular dysplasia. The encephalopathy improved dramatically after re...

BACKGROUND Posterior reversible encephalopathy syndrome (PRES) has well-established links with several drugs. Whether a link also exists with serotonin-norepinephrine reuptake inhibitor such as duloxetine is unclear. METHODS We report on a patient who developed PRES with a coma and myoclonus related to hypertensive encephalopathy a few days after starting duloxetine treatment. Magnetic resona...

Portal hypertension in patients with cirrhosis is the cause of many dangerous complications, such as hepatic encephalopathy, ascites, and gastro-oesophageal variceal bleeding. Gastrooesophageal variceal bleeding is the cause of more than one-third of deaths in patients with liver cirrhosis [3]. H.pylori infection has a role in some diseases as peptic ulcer [4] portal hypertensive gastropathy [5...

An 11 year old girl developed hypertensive encephalopathy and renal failure from reflux nephropathy. Resection of her shrunken left kidney did not control her hypertension. Two selective arterial embolisations of the scarred right lower pole produced only transient benefit, but a heminephrectomy gave good control. Embolisation may delay definitive treatment.

OBJECTIVES To describe a case of Posterior Reversible Encephalopathy Syndrome diagnosed in pregnant women with late-eclampsia, as well as its clinical management. CASE DESCRIPTION A 34 years old patient in her third pregnancy had started with high blood pressure levels during labor; after eleven days postpartum, she presented a decreased right visual acuity; subsequently one episode of seizur...

Pheochromocytomas are rare neuroendocrine tumours of chromaffin tissues. They are catecholamine secreting tumours which cause severe hypertension and other systemic disturbances. Of all the causes of childhood hypertension, pheochromocytoma constitutes less than 1%. We report the case of a 12 years old child who presented with hypertensive encephalopathy, confirmed histologically to be secondar...

A case is presented of neurilemmoma of the left oculomotor nerve occurring in a 64-year-old hypertensive woman. The incipient tumour produced ptosis, limited inwards rotation of the eyeball, and persistent pupillary dilatation on the left side. The mechanism of this process is discussed, having regard to the interruption of the fibres innervating these structures by the tumour, and considering ...

We report a case involving a 7-year-old girl who initially presented with seizure and hypertensive encephalopathy, serious autonomic manifestations associated with Guillain-Barré syndrome, followed by subsequent bilateral ascending flaccid paralysis. Cerebrospinal fluid analysis showed cytoalbuminous dissociation. Nerve conduction velocity tests showed features of demyelinating polyradiculoneur...

Hypothyroidism is a well-known cause of poor linear growth in children. In long standing untreated congenital hypothyroidism, short stature, mental retardation and myxedema are common. Sexual precocity associated with bone age advancement can occur, but hypertensive encephalopathy is rare. This case highlights an uncommon finding of hypertensive encephalopathy in a 10 year old Filipino girl who...