scholarly journals Posterior reversible encephalopathy syndrome induced by food poisoning in a pediatric patient: a case report

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052098020
Author(s):  
Xue-mei Wu ◽  
Guang-liang Wang ◽  
Chang-gui Kou ◽  
Jiang-tao Wang ◽  
Jian-min Liang ◽  
...  
Keyword(s):  
Pediatric Patient ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Kidney Diseases ◽  
Immunosuppressive Agents ◽  
Pressure Fluctuations ◽  
Food Poisoning ◽  
Altered Consciousness ◽  
Short Term ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

Posterior reversible encephalopathy syndrome (PRES) can develop in patients following exposure to multiple triggers, including blood pressure fluctuations, kidney diseases, immunosuppressive agents, chemotherapy, or autoimmune disorders. However, to the best of our knowledge, the development of PRES secondary to food poisoning has not been previously reported, especially in a pediatric patient. Here, we report a 13-year-old boy who presented with PRES following the consumption of palmatum (a chicken feet dish). The patient presented with headache, vomiting, and altered consciousness. Neuroimaging findings revealed white matter hyperintensities in a bilateral, symmetrical, and parieto-occipital pattern. The patient was diagnosed with PRES and was managed with fluid expansion and a short-term mannitol regimen (1 g/kg every 12 hours for 3 days). Neuroimaging findings returned to normal at 8 days after admission. Food poisoning may therefore be a new possible trigger for PRES. A timely PRES diagnosis is recommended to prevent possible central nervous system complications.

scholarly journals Seizures in posterior reversible encephalopathy syndrome: blood pressure management in normotensive patients

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Lu Lu ◽  
Weixi Xiong ◽  
Yingying Zhang ◽  
Yingfeng Xiao ◽  
Dong Zhou
Keyword(s):  
Blood Pressure ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Vasogenic Edema ◽  
Pressure Fluctuations ◽  
Rapid Onset ◽  
Pressure Management ◽  
Residual Symptoms ◽  
Posterior Reversible Encephalopathy ◽  
Blood Pressure Management ◽  
Reversible Encephalopathy

AbstractPosterior reversible encephalopathy syndrome (PRES) is a rare clinical disease that refers to the subcortical vasogenic edema involving bilateral parieto-occipital regions, with a usually reversible syndrome when causes are eliminated or controlled. Hypertension or blood pressure fluctuations are most common causes of PRES, but other contributors like chemotherapy and autoimmune disorders have also been reported. PRES has rapid onset of symptoms. Therefore, it is of major importance to determine whether blood pressure management plays an important role in prognosis. We presented two PRES patients who developed non-convulsive seizure but had normal baseline blood pressure at the time of presence of cause. The diagnosis of PRES was made by neurologists. The patients had no history of seizure or hypertension, but during the disease course they presented with temporal elevation of blood pressure with different durations. The second patients without instant blood pressure control developed residual symptoms of seizure at 90- and 120-day follow-up. Although the exact pathophysiology of PRES remains to be fully understood, primary and secondary prolonged blood pressure fluctuations may be associated with the prognosis of this syndrome. Early blood pressure management would be critical to favorable outcome.

Blood Pressure Fluctuations in Posterior Reversible Encephalopathy Syndrome

2012 ◽  
Vol 21 (4) ◽  
pp. 254-258 ◽  
Author(s):  
Alejandro A. Rabinstein ◽  
Jay Mandrekar ◽  
Ryan Merrell ◽  
Osman S. Kozak ◽  
Olayemi Durosaro ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Pressure Fluctuations ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

Posterior reversible encephalopathy syndrome associated with focal segmental glomerulosclerosis in a child

2021 ◽  
Vol 14 (4) ◽  
pp. e240085
Author(s):  
Nadine Nassar ◽  
Charbel Chater ◽  
Amal Chelala
Keyword(s):  
Focal Segmental Glomerulosclerosis ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Brain Mri ◽  
Immunosuppressive Agents ◽  
Paediatric Population ◽  
Posterior Reversible Encephalopathy ◽  
Segmental Glomerulosclerosis ◽  
Mri Features ◽  
High Index Of Suspicion ◽  
Reversible Encephalopathy

Posterior reversible encephalopathy syndrome (PRES) is a rare neurological entity, typically manifested by reversible oedema in the parieto-occipital lobes. It is usually associated with primary hypertension, autoimmune diseases and immunosuppressants. Renal disease is an uncommon cause of PRES. We report a case of an 11-year-old boy with STimulator of INterferon Genes-associated vasculopathy with onset in infancy complicated by focal segmental glomerulosclerosis leading to hypertension and PRES. The patient presented with headache, acute bilateral visual loss and hypertension. Brain MRI showed atypical features revealed by parieto-occipital haemorrhage. The child improved few days after antihypertensive therapy. Follow-up MRI showed complete resolution of haemorrhage. It is important to keep high index of suspicion for the uncommon association of PRES with underlying kidney disease with or without immunosuppressive agents. This combination is the first to our knowledge to be described in paediatric population. Atypical MRI features such as haemorrhage should be kept in mind. Symptoms are reversible within days to weeks with early diagnosis and treatment.

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