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Indian Journal of Trauma and Emergency Pediatrics

Volume  10, Issue 2, April-June 2018, Pages 57-60
 
Case Report

Posterior Reversible Encephalopathy Syndrome (PRES) with Pign - Case Report of a Real Emergency

Bijoy Patra1, Riteish Yadav2, Chidambaram Laxman3, Sandip Roy4, Satinder Aneja5

1Consultant 2Senior Resident 3Post Graduate Resident, 4Senior Medical Officer, 5Director & Professor, Department of Paediatrics, Lady Hardinge Medical College and Associated kalawati Saran Children Hospital, New Delhi 110001, India.
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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10218.5
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. 

 
Corresponding Author : Bijoy Patra, Consultant, Department of Paediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi 110001, India.