» Articles » PMID: 34506399

Posterior Reversible Encephalopathy Syndrome in a Patient with Post Streptococcal Glomerulonephritis: A Case Report

Overview
Specialty General Medicine
Date 2021 Sep 10
PMID 34506399
Authors
Affiliations
Soon will be listed here.
Abstract

Posterior reversible encephalopathy syndrome is a clinical-radiological syndrome neurological disorder with varied symptoms which include headache, visual field defects, seizures, altered consciousness. It is a rare complication of post-streptococcal glomerulonephritis and results in life-threatening manifestations if not managed on time. Although reversible by definition, complications like status epilepticus, intracranial hemorrhage, and ischemic infarction may lead to mortality and morbidity. We report a case of a 9-year-old female patient with posterior reversible encephalopathy syndrome who presented with multiple episodes of seizures and bilateral painless loss of vision for 1 day. Due to her severity, a computed tomography scan was sent which revealed a hypodense lesion in the brain. She was admitted to the pediatric intensive care unit and managed with supportive care for 6 days where she died on the 6th day. Vital signs are simple but important and if overlooked can lead to a series of complicated events.

References
1.
Yamamoto H, Natsume J, Kidokoro H, Ishihara N, Suzuki M, Tsuji T . Clinical and neuroimaging findings in children with posterior reversible encephalopathy syndrome. Eur J Paediatr Neurol. 2015; 19(6):672-8. DOI: 10.1016/j.ejpn.2015.07.005. View

2.
Fugate J, Rabinstein A . Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions. Lancet Neurol. 2015; 14(9):914-925. DOI: 10.1016/S1474-4422(15)00111-8. View

3.
Gupta S, Goyal V, Talukdar B . Reversible posterior leucoencephalopathy syndrome in post streptococcal glomerulonephritis. Indian Pediatr. 2010; 47(3):274-6. DOI: 10.1007/s13312-010-0037-y. View

4.
Roth C, Ferbert A . The posterior reversible encephalopathy syndrome: what's certain, what's new?. Pract Neurol. 2011; 11(3):136-44. DOI: 10.1136/practneurol-2011-000010. View

5.
Fugate J, Claassen D, Cloft H, Kallmes D, Kozak O, Rabinstein A . Posterior reversible encephalopathy syndrome: associated clinical and radiologic findings. Mayo Clin Proc. 2010; 85(5):427-32. PMC: 2861971. DOI: 10.4065/mcp.2009.0590. View