J Korean Child Neurol Soc.  2017 Sep;25(3):174-178. 10.26815/jkcns.2017.25.3.174.

Posterior Reversible Encephalopathy Syndrome Accompanied by a Cerebral Hemorrhage and Restricted Diffusion in a Child with Uncontrolled Nephrotic Syndrome

• Jung SM
• Choi SE
• Kim HJ
• Ahn YH
• Lee KH

• KMID: 2392555
• DOI: http://doi.org/10.26815/jkcns.2017.25.3.174

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-radiological syndrome that is characterized by an acute onset of headache, vomiting, visual abnormalities, confusion, and/or seizures and is typically accompanied with edema of predominantly posterior portions of the cerebral hemispheres. Here, we report a case of PRES with cerebral hemorrhage that occurred in a female pediatric patient with uncontrolled nephrotic syndrome. The patient's magnetic resonance imaging (MRI) studies showed asymmetric white matter abnormalities, cerebral hemorrhage, and restricted diffusion. After controlling her hypertension and nephrotic syndrome, her neurologic symptoms improved, and follow-up MRI findings revealed interval resolving of the white matter lesions.

Keyword

Posterior reversible encephalopathy syndrome; Nephrotic syndrome; Cerebral hemorrhage; Diffusion magnetic resonance imaging

MeSH Terms

Cerebral Hemorrhage*
Cerebrum
Child*
Diffusion Magnetic Resonance Imaging
Diffusion*
Edema
Female
Follow-Up Studies
Headache
Humans
Hypertension
Magnetic Resonance Imaging
Nephrotic Syndrome*
Neurologic Manifestations
Posterior Leukoencephalopathy Syndrome*
Seizures
Vomiting
White Matter