Abstract
An outline of the clinical features of hypertension in children is presented. The pathogenesis of hypertension and its radiological investigation is discussed. Disorders responsible for hypertension have been considered in four groups, namely, vascular constrictions, tumours, chronic pyelonephritis and developmental anomalies. Many of these lesions are amenable to surgical treatment. The clinical presentation, radiological investigation and management of patients with hypertension is discussed with illustrative cases drawn from experience over the last 10 years.
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References
Amplatz, K.: Two radiographic tests for the assessment of renovascular hypertension. Radiology79, 807 (1962).
Barratt, T. M.: Hypertension in childhood. In: Paediatric Urology, Ed. by D. I. Williams. Encyclopaedia of Urology. Berlin, Heidelberg, New York: Springer (in press).
Black, J. A., Bonham Carter, R. E.: Lancet1963 II, 745.
Boggs, J. D., Usia, D. Y., Mais, R. F., Bigler, J. A.: The genetic mechanism of idiopathic hyperlipemia. New Engl. J. Med.257, 1101 (1957).
Cavell, B., Sandegard, E., Hökfelt, B.: Primary aldestereonism due to an adrenal adenoma in a 3 year old child. Acta paediat. scand.53, 205 (1964).
Chrispin, A. R.: In: Paediatric Urology, Ed. by Williams, D. I. p 531 London: Butterworths 1968.
Coran, A. G., Schuster S. R.: Renovascular hypertension in childhood. Surgery64, 672 (1968).
Danaraj, T. J., Wong, O. H., Thomas M. A.: Primary arteritis of aorta causing renal artery stenosis and hypertension. Brit. Heart. J.25, 153 (1963).
Ecoiffer, J., Fournier, A., Leduc, G., Plainfosse, M. C.: Significance of arteriographic discovery of ‘stenosis’ in phaeochromocytoma. Presse méd.78, 2325 (1970).
Fischer, E. R., Corcoran, A. C.: Congenital coarctation. of the abdominal aorta with resultant renal hypertension. Arch. Intern. Med.89, 943 (1952).
Frimann-Dahl, J.: Renal Angiography, p. 247. Chicago: Year Book Medical Publishers Inc. 1966.
Glenn, J.: in Urologic Surgery, ed. Glenn, J. and Boyce, W. P. 29. New York: Harper and Row, 1969.
Glenn, F., Keeper, E. B. C., Speer, D. S., Dotter, C. T.: Coarctation of lower thoracic and abdominal aorta immediately proximal to coeliac axis. Surg. Gynec. Obstet.94, 561 (1952).
Hubib, R., Courtecuisse, V., Ehrensperger, J., Royer, P.: Hypoplasie segmentaire due rein avec hypertension arterielle chez l'enfant. Ann. Pediat.41, 954 (1965).
Halpern, M., Currarino, G.: Vascular Lesions causing Hypertension in Neurofibromatosis. New Engl. J. Med.273, 248 (1965).
Heale, W.: Chronic Pyelonephritis in the adult. Aust. N. Z. J. Med.1, 283 (1971).
Hilal, S. K., Solomon, G. E., Gold, A. P., Carter, S.: Primary cerebral arterial occlusive disease in children, Part II: Neurocutaneous syndromes. Radiology99, 87 (1971).
Lanner, L. O., Rosencrantz, M.: Arteriographic appearances of phaeochromocytomas. Acta radiol.10, 35 (1970).
Lee, M. R.: Renin secreting kidney tumours. Lancet 1971 II, 254.
Lefebvre, J., Labrune, M., Benacerraf, R.: Renovascular hypertension in childhood. Prog. Pediat. Radiol.3, 252 (1970).
Leiphart, C. J., Nudelman, E. J.: Hibernoma masquerading as a phaeochronocytoma. Radiology95, 659 (1970).
Loggie, J. M. H.: Systemic hypertension in children and adolescents. Pediat. Clin. N. Amer.18, 1273 (1971).
Long, L., Javid, H., Julian, O. C.: Atteriovenous fistula of renal vessels: report of a case believed to be congenital. Ann. Surg.160, 239 (1964).
McCormack, L. J., Poutasse, E. F., Meaney, T. F., Noto, J. J., Dustan, H. P.: A pathologic-arteriographic correlation of renal arterial disease. Amer. Heart J.72, 188 (1966).
McNeill, A. D., Groden, B. M., Neville, A. M.: Intrathoracic phaeochromocytoma. Brit. J. Surg.57, 457 (1970).
Menser, M. A., Dorman, D. C., Reye, R. D. K., Reid, R. R.: Renal artery stenosis in the rubella syndrome. Lancet 1966 I, 790.
Mitchell, J. D., Baxter, T. J., Blair-West, J. R., McCreadie, D. A.: Renin levels in nephroblastoma (Wilm's Tumour). Arch. Dis. Childh.45, 376 (1970).
Porstmann, W.: Renal angiography in children. Prog. Pediat. Radiol.3, 51 (1970).
Robertson, P. W., Klidjian, A., Harding, L. K., Walters, G.: J. Hypertension due to a renin-secreting renal tumour. Amer. Med.43, 963 (1967).
Robinson, M. J., Kert, M., Stocks, J.: Phaeochromocytoma in childhood. Report of 3 cases. Arch. Dis. Childh.48, 137 (1973).
Schmidt, D. M., Rambo, O. N.: Segmental intimal hyperplasia of the abdominal aorta and renal arteries producing hypertension in an infant. Amer. J. Clin. Path.44, 546 (1965).
Selye, H.: The physiology and pathology of exposure to stress p. 540. Acta Inc. Montreal Canada 1950.
Senning, A., Johansson, L.: Coarctation of abdominal aorta. J. thorac. cardiovasc. Surg.40, 517 (1960).
Slaton, P. E., Biglieri, E. F.: Hypertension and hyperaldosteronism of renal and adrenal origin. Amer. J. Med.38, 324 (1965).
Stephens, F. D.: Urologic aspects of recurrent urinary tract infection in children. J. Pediat.80, 725 (1972).
Still, J. L., Cottom, D.: Severe hypertension in children. Arch. Dis. Childh.42, 34 (1967).
Stockigt, J. R., Collins, R. D., Noakes, C. A., Schambelan, M., Biglieri, E. G.: Renal vein renin in various forms of renal hypertension. Lancet1972 I, 1194.
Sukarochana, K., Tolentino, N., Kiesenetter, W. B.: Wilms Tumour and hypertension. J. pediat. Surg.7, 573 (1972).
Sutton, D., Brunton, F. J., Starer, F.: Renal artery stenosis. Clin. Radiol.12, 80 (1961).
Voorhess, M. L.: Functioning neural tumors. Pediat. Clin. N. Amer.13, 3 (1966).
Weidman, P., Siegenthaler, W., Zeigler, W. H., Sulser, H., Endres, P., Werning, C.: Hypertension associated with tumor adjacent to renal arteries. Amer. J. Med.47, 528 (1969).
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Chrispin, A.R., Scatliff, J.H. Systemic hypertension in childhood. Pediatr Radiol 1, 75–86 (1973). https://doi.org/10.1007/BF00973219
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DOI: https://doi.org/10.1007/BF00973219