Open AccessRecurrent and atypical posterior reversible encephalopathy syndrome in a child with hypertension
Author(s) -
Mustafa Kömür,
Ali Delibaş,
Ali Ertuğ Arslanköylü,
Çetin Okuyaz,
Engin Kara
Publication year - 2012
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.99721
Subject(s) - medicine , posterior reversible encephalopathy syndrome , vomiting , encephalomalacia , pediatrics , nausea , peritoneal dialysis , encephalopathy , end stage renal disease , disease , surgery , magnetic resonance imaging , pathology , radiology
Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiologic entity with typical symptoms including headache, seizures, visual disturbance, altered mental status, vomiting, nausea and focal neurologic signs. In this article, we report recurrent and atypical PRES in a child with hypertension due to end-stage renal disease (ESRD) who was on a peritoneal dialysis program for 6 months. After the second hypertension attack, PRES findings did not recover and persisted as encephalomalacia. As far as we know, this case is the first child with ESRD who developed encephalomalacia after recurrent episodes of PRES. When a patient with a history of PRES presented with new clinical and neuroradiological findings, recurrent PRES should be considered.