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Indian Journal of Trauma and Emergency Pediatrics 10(2):p 57-60, April-June 2018. | DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10218.5
Case Report
Posterior Reversible Encephalopathy Syndrome (PRES) with Pign - Case Report of a Real Emergency
Bijoy Patra, Consultant, Department of Paediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi 110001, India. , Bijoy Patra1 , Riteish Yadav2 , Chidambaram Laxman3 , Sandip Roy4 , Satinder Aneja5
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Indian Journal of Trauma and Emergency Pediatrics 10(2):p 57-60, April-June 2018. | DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10218.5
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Abstract
Posterior reversible encephalopathy syndrome (PRES) is a reversible neurological entity characterized by seizure, headaches, visual symptoms, impaired consciousness and other focal neurological findings. It is caused by a wide variety of causes ultimately leading to a vasogenic cerebral edema of occipital and parietal lobes of the brain. A 10 Year Old Girl presented in Pediatric emergency with altered sensorium and intermittent tonic posturing. During examination her BP was noted to be 140/90mmHg (> 99th percentile for the patient).Urinalysis revealed hematuria. CT Cranium showed prominent ventricles and diffuse hypodensity in cerebellar region. Reversibility of the symptoms after institution of antihypertensivemeasures and MRI brain confirmed the diagnosis of PRES. Post streptococcal Glomerulonephritis (PSGN) was found to be the underlying etiology of PRES.
Keywords: Posterior Reversible Encephalopathy Syndrome; Post Infectious Glomerulonephritis; Calcineurin Inhibitors.
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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10218.5
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