Kosin Med J.
2011 Dec;26(2):167-172.
A Case of Posterior Reversible Encephalopathy Syndrome in a Girl with Nephrotic Syndrome
- Affiliations
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- 1Department of Pediatrics, Kosin University College of Medicine, Busan, Korea. pjs@ns.kosinmed.or.kr
- 2Department of Radiology, Kosin University College of Medicine, Busan, Korea.
Abstract
- A 12-year-old girl with nephrotic syndrome was admitted to Kosin University Gospel Hospital because of progressive generalized edema and weight gain for the last one month. From the eighth day of admission, she developed headache and generalized tonic seizures. Magnetic resonance imaging (MRI) of the brain showed multiple T2-high signal intensity lesions in the bilateral posterior parieto-occipital cortex and subcortical white matter. The convulsions responded to anticonvulsant and antihypertensive drugs but recurred again until she developed massive diuresis and became normotensive. Follow-up brain MRI 5 days later showed complete resolution of the previous abnormal lesions. The cause of Posterior Reversible Encephalopathy Syndrome (PRES) in our case remains unclear. Blood pressure has been only moderately elevated when the patient became symptomatic. Here, we report a case of minimal change nephrotic syndrome complicated by PRES with a literature review.
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