RESUMO
BACKGROUND: In seizures caused by electrolytes disorders, a prompt diagnosis allows an appropriate treatment and reduces the risk of neurological complications. Hypomagnesemia is a recognized cause of generalized seizures, while it has been anecdotally reported in focal forms. CASE PRESENTATION: We describe a newborn with recurrent focal seizures due to transient hypomagnesemia. CONCLUSION: Physicians should consider the possible occurrence of such disorder also in cases of focal seizures.
Assuntos
Doenças do Recém-Nascido/etiologia , Magnésio/sangue , Convulsões/etiologia , Feminino , Humanos , Recém-Nascido , Doenças do Recém-Nascido/sangue , Convulsões/sangueRESUMO
Posterior reversible cerebral edema syndrome is a generally reversible neurologic condition that is diagnosed based on distinctive clinical and radiologic findings. The condition, which is mostly associated with severe arterial hypertension, has also been reported to be induced by several medications. We made the diagnosis of hypertension with posterior reversible cerebral edema syndrome in a lean 12-year-old girl treated with the second-generation antipsychotic risperidone. We applied the Naranjo Adverse Drug Reaction Probability Scale and the World Health Organization-Uppsala Monitoring Centre system for causality assessment to the present case. Both scales indicated that a relationship to risperidone was likely. Second-generation antipsychotic agents may occasionally induce an increase in blood pressure even in the absence of overweight. Given this possibility, we recommend routine monitoring of blood pressure during therapy with these agents.
Assuntos
Antipsicóticos/efeitos adversos , Edema Encefálico/induzido quimicamente , Hipertensão/induzido quimicamente , Risperidona/efeitos adversos , Edema Encefálico/diagnóstico , Criança , Feminino , Humanos , Hipertensão/diagnósticoRESUMO
Episodic idiopathic systemic capillary leak syndrome is a rare disorder that presents with attacks of circulatory shock due to plasma leakage into the extravascular space. Reported here is the case of a girl who had recurrent circulatory shock. The diagnosis of episodic idiopathic systemic capillary leak syndrome was made following the fourth episode. The course was favorable following acute i.v. cristalloids and methylprednisolone.
