A Case of Posterior Reversible Encephalopathy Syndrome in a Girl with Nephrotic Syndrome / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 167-172, 2011.
Article
in English
| WPRIM
| ID: wpr-98710
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Seizures
/
Blood Pressure
/
Brain
/
Magnetic Resonance Imaging
/
Weight Gain
/
Follow-Up Studies
/
Diuresis
/
Edema
/
Headache
/
Hypertension
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
English
Journal:
Kosin Medical Journal
Year:
2011
Type:
Article
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