Posterior Reversible Encephalopathy Syndrome in a case of Post-streptococcal Glomerulonephritis

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiological syndrome, characterized by headache, altered mental status, visual disturbances, seizures and radiological features of edema of the posterior cerebral hemisphere, especially of the parieto-occipital region. It is quite rare in children. Here we report a case of post-streptococcal glomerulonephritis in a 9 years old child, who presented with convulsion & visual disturbance and ultimately diagnosed to have PRES on neuro-imaging.

Keywords

• Posterior reversible encephalopathy syndrome; visual disturbance; post-streptococcal glomerulonephritis

Kaynakça

1. Kwon S, Koo J, Lee S. Clinical spectrum of reversible posterior leucoencephalopathy syndrome. Pediatr Neurol 2001;24:361-4 Gupta S, Goyl VK, Talukdar B. Reversible posterior leucoencephalopathy syndrome in post streptococcal glomerulonephritis. Indian Pediatr 2010;47:274-6.
2. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334:494–500.
3. Garg RK. Posterior leukoencephalopathy syndrome. Postgrad Med J. 2001;77:24–8. Ergun T, Lakadamyali H, Yilmaz A. Recurrent posterior reversible encephalopathy syndrome in a hypertensive patient with end-stage renal disease. Diagn Interv Radiol. 2008;14:182–5.
4. Naidu K, Moodley J, Corr P, Hoffmann M. Single photon emission and cerebral computerized tomographic scan and transcranial Doppler sonographic findings in eclampsia. Br J Obstet Gynaecol. 1997;104:1165–72.
5. Vaughan CJ, Delanty N. Hypertensive emergencies. Lancet. 2000;356:411–7.
6. Jones BV, Egelhoff JC, Patterson RJ. Hypertensive encephalopathy in children. Am J Neuroradiol 1997;18: 101-106.
7. Covarrubias DJ, Luetmer PH, Campeau NG. Posterior reversible encephalopathy syndrome: prognostic utility of quantitative diffusion - weighted MR images. Am J Neuroradiol. 2002;23:1038–48.
8. Casali-Rey JI, Dávalos EG, López-Amalfara A, Julio-Muñoz D, Pagano MA. Posterior reversible encephalopathy syndrome: some case reports. Rev Neurol. 2003;37:224–7. Ozcakar ZB, Ekim M, Fitoz S, Teber S, Hizel S, Acar B, et al. Hypertension induced reversible posterior leukoencephalopathy syndrome: a report of two cases. Eur J Pediatr. 2004;163:728–30.

9. Aeby A, David P, Fricx C, Jissendi P, Blecic S, Van Bogaert P. Posterior reversible encephalopathy syndrome revealing acute post-streptococcal glomerulonephritis. J Child Neurol. 2006;21:250–1.