[Malignant hypertension in a young man with renal artery occlusion diagnosed with magnetic resonance angiography].
A male aged 22 years developed a hypertensive crisis with encephalopathy after his antihypertensive medication had been discontinued with a view to extended diagnostics. Immediate intensive treatment led to rapid and complete recovery. By using gadopentetate acid enhanced magnetic resonance angiography it is possible to obtain a clear image of the morphology of the kidneys and the renal vasculature without the use of iodinated contrast media and arterial catheterisation. This technique revealed an occluded renal artery and a recent infarction that possibly had led to the serious and threatening events.
Postma
C T
CT
Afd. Algemene Interne Geneeskunde, Academisch Ziekenhuis, Nijmegen.
Joosten
F B
FB
Claessens
R A
RA
Thien
T
T
D000328:Adult; D019786:Gadolinium DTPA; D006801:Humans; D006974:Hypertension, Malignant / Q000175:diagnosis* / Q000209:etiology; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis*
D019786:Gadolinium DTPA
Maligne hypertensie bij een jongeman met nierarterieafsluiting gediagnosticeerd met magnetische-resonantieangiografie.