First-attack pediatric hypertensive crisis presenting to the pediatric emergency department

BMC Pediatrics

Table 3 The characteristics of the patients with hypertensive encephalopathy (N = 5)

	Case 1	Case 2	Case 3	Case 4	Case 5
Gender (F/M)	M	M	M	M	M
Age (year)	9	12	13	5	14
Weight (kg)	24	39	68	19	35
Height (cm)	134		158	110
Family history	no	no	no	no	no
Arrival BP	166/130	176/86	220/128	231/172	148/109
Hypertension stage	stage 2	stage 2	stage 2	stage 2	stage 2
SBP > 99^th percentile + 5	33(25.3%)	42(31.4%)	82(59.4%)	106(84.8%)	3(2%)
DBP > 99^th percentile + 5	38(41.3%)		34(36.1%)	86(101%)	12(11%)
clinical manifestations
Consciousness change	Coma	Coma	Coma	Drowsy	Disturbance
Headache	+	0	+	+	+
Nausea/Vomiting	0	0	+	+	+
Visual symptoms	0	0	+	0	0
Seizure	0	0	0	+	+
Dizzy	0	0	0	0	+
Chest tightness	0	0	0	0	0
Drug for anti-HTN	Labetalol, Furosemide	Labetalol	Nifedipine, Labetalol	Nifedipine	captopril / amlodipine
Underlying causes	oncology Pheochromocytoma	0	0	oncology Paraganglioneuroma	Renal disease
Recurrent episode (times)	0	0	0	3	>5
CSF data	0	0	0	0	normal
EEG finding	0	0	normal	0	normal
Hospitalization duration (days) (ward/ICU/POU)	9(4/5/0)	11(5/6/0)	5(3/2/0)	7(7/0/0)	6(6/0/0)

SBP: systolic blood pressure; DBP: diastolic blood pressure; HTN: hypertension; CSF: cerebrospinal fluid; EEG: Electroencephalography; ICU: intensive care unit; POU: pediatric observation unit.

ISSN: 1471-2431