Pediatr Infect Vaccine.  2015 Aug;22(2):113-116. 10.14776/piv.2015.22.2.113.

A Case of Posterior Reversible Leukoencephalopathy Syndrome Following Poststreptococcal Glomerulonephritis

• Lee EK
• Kang JH
• Ma SH

• KMID: 2465256
• DOI: http://doi.org/10.14776/piv.2015.22.2.113

Abstract

Posterior reversible leukoencephalopathy syndrome is a clinical radiographic syndrome of many causative factors. Sudden onset headache, vomiting, altered mental status, blurred vision and seizures are main symptoms shown in posterior reversible leukoencephalopathy syndrome. In addition, it typically shows radiological findings of edema in the white matter of posterior cerebrum, being in commonly bilateral but asymmetric. We report a case of poststreptococcal glomerulonephritis (PSGN) presenting as posterior reversible leukoencephalopathy syndrome. Immediate control of hypertension resulted in rapid and complete neurological recovery.

Keyword

Posterior leukoencephalopathy syndrome; Streptococcal infection; Glomerulonephritis

MeSH Terms

Cerebrum
Edema
Glomerulonephritis*
Headache
Hypertension
Leukoencephalopathies*
Posterior Leukoencephalopathy Syndrome
Seizures
Streptococcal Infections
Vomiting

Figure

• 

  Fig. 1 Brain MRI. (A, B) T2-weighted MR image performed 1 day after seizure onset. The initial image demonstrates bilateral increased signal intensity in the occipital cortex and subcortical white matter. (C, D) T2-weighted MR image, performed 12 days after seizure onset, shows almost complete resolution of the previous abnormalities.

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