Posterior Reversible Encephalopathy Syndrome in a Child with Chronic Kidney Disease

Authors

  • Iftikhar Ijaz* Department of Pediatrics and Pediatric Nephrology, King Edward Medical University, Pakistan Author
  • Hafsa Ijaz Department of Pediatrics and Pediatric Nephrology, King Edward Medical University, Pakistan Author
  • Mariam Asif Department of Pediatrics and Pediatric Nephrology, King Edward Medical University, Pakistan Author
  • Resham Kareem Department of Pediatrics and Pediatric Nephrology, King Edward Medical University, Pakistan Author

Keywords:

Posterior reversible encephalopathy syndrome, Hypertension, Renal failure

Abstract

A 13-year-old boy, a diagnosed case of stage V CKD due to obstructive uropathy secondary to renal stones. He was having severe
uremia and Grade 1- 2 hypertension. After left sided pyelolithotomy, Patient received 6 sessions of hemodialysis, he developed
headache, vomiting, depressed conscious level and seizures with cortical blindness. Condition recovered completely clinically
as well as radiologically. Clinical and CT brain findings confirmed diagnosis of posterior reversible encephalopathy syndrome
(PRES syndrome.)
This condition is relatively under diagnosed in pediatric population. With newer neuroimaging diagnostic modalities increasing
reports on PRES syndrome have been described in pediatric and adult population. High index of suspicion need to be kept in
mind as early diagnosis and management can lead to complete neurological recovery.

Downloads

Published

2020-05-27

Issue

Vol. 3 No. 2 (2020)

Section

Articles