Symptomatology and treatment of neonatal hypertension
Bok, L.A.; Semmekrot, B.A.; Monnens, L.A.
Tijdschrift Voor Kindergeneeskunde 60(2): 44-48
1992
ISSN/ISBN: 0376-7442 PMID: 1641845 Document Number: 391610
A newborn child of a diabetic mother is described, who developed neonatal hypertension after birth. Clinical signs were not specific and the diagnosis would have been missed if blood pressure had not been measured. The cause of the neonatal hypertension appeared to be a thrombus in the left renal artery, probably originating from the ductus arteriosus Botalli. Control of the neonatal hypertension according to a stepwise treatment regime was very difficult. Based on our experience and on study of the literature it is advised to start treatment in the acute stage with nifedipine orally or with sodium nitroprusside intravenously.