Akut Poststreptokoksik Glomerulonefrite Bağlı Gelişen Reverzibl Posteriyor Ensefalopati Vakası

Abstract

Akut poststreptokoksik glomerulonefrit çocuklardaki akut hipertansiyonun en sık nedenlerinden biridir. Reverzibl posteriyor ensefalopati sendromu PRES , sıklıkla bilinen hipertansiyon veya immunsupresif ilaç kullanımı durumlarında ortaya çıkan bir klinik-radyolojik tablodur. PRES’in karakteristik semptomları baş ağrısı, kusma, görmede bozukluklar, bilinç değişiklikleri ve nöbetlerdir. Nörolojik sistem görüntülemelerinde en sık görülen anormallik, beyin hemisferlerininin arka bölgelerinde, özellikle pariyetooksipital bölgede, ak ve gri maddeyi tutan bilateral ödemdir. Burada, akut baş ağrısı, bilinç değişikliği, nöbet ile başvuran ve APSGN’ye bağlı PRES tanısı alan 11 yaşında bir erkek hastayı sunduk.

Keywords

• Glomerulonefrit,reverzibl posteriyor lökoensefalopati sendromu,PRES

A Posterior Reversible Encephalopathy Case Related to Acute Post Streptococcal Glomerulonephritis

Abstract

Acute poststreptococcal glomerulonephritis APSGN is one of the most common causes of acute hypertension in children. Posterior reversible encephalopathy Syndrome PRES is a clinico-radiological picture which emerges commonly in the setting of known hypertension or use of immune suppressive agents. Characteristic symptoms of PRES include headache, vomiting, visual disturbances, changes in consciousness and seizures. The most common abnormality on neuroimaging is bilateral edema involving the white and grey matter in the posterior regions of cerebral hemispheres, especially in the parietooccipital regions. We reported herein a 11-year male patient who presented with acute headache, change in consciousness, seizure and was diagnosed PRES -related APSGN

Keywords

• Glomerulonephritis,posterior reversible leukoencephalopathy syndrome,PRES

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