TY - JOUR
T1 - Imaging techniques in the evaluation of pediatric hypertension
AU - Siegel, Marilyn J.
AU - Amour, Thomas E.St
AU - Siegel, Barry A.
PY - 1987/3/1
Y1 - 1987/3/1
N2 - Moderate or severe hypertension occurs in a small percentage of hypertensive children, but it is within this group that the surgically correctable causes of hypertension are found. Since cure rates up to 90% have been reported, it is important to diagnose a secondary cause of hypertension. Excretory urography is recommended to screen for renovascular hypertension and renal parenchymal disease. Renal scintigraphy can be substituted for the urogram, but the anatomical resolution is poorer. If renovascular hypertension is suggested by abnormal results of screening examination, arteriography should be part of the evaluation. Ultrasonography is reserved primarily for evaluating neonatal hypertension which most frequently is related to thrombosis. If this diagnosis is documented, renal function should be assessed with radionuclide techniques. If a hormonally active tumor is suspected, evaluation of the adrenals and retroperitoneum is accomplished best by CT.
AB - Moderate or severe hypertension occurs in a small percentage of hypertensive children, but it is within this group that the surgically correctable causes of hypertension are found. Since cure rates up to 90% have been reported, it is important to diagnose a secondary cause of hypertension. Excretory urography is recommended to screen for renovascular hypertension and renal parenchymal disease. Renal scintigraphy can be substituted for the urogram, but the anatomical resolution is poorer. If renovascular hypertension is suggested by abnormal results of screening examination, arteriography should be part of the evaluation. Ultrasonography is reserved primarily for evaluating neonatal hypertension which most frequently is related to thrombosis. If this diagnosis is documented, renal function should be assessed with radionuclide techniques. If a hormonally active tumor is suspected, evaluation of the adrenals and retroperitoneum is accomplished best by CT.
KW - Children, genitourinary system
KW - Hypertension, systemic
KW - Kidneys, radiography
UR - http://www.scopus.com/inward/record.url?scp=0023605233&partnerID=8YFLogxK
U2 - 10.1007/BF00866888
DO - 10.1007/BF00866888
M3 - Review article
C2 - 3153264
AN - SCOPUS:0023605233
SN - 0931-041X
VL - 1
SP - 76
EP - 88
JO - Pediatric Nephrology
JF - Pediatric Nephrology
IS - 1
ER -