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Posterior reversible encephalopathy syndrome in a child with meningitis presenting with transient visual loss and

Malavika Panda1, Deepika Rustogi, Ankur Singh

  • 1Department of Pediatrics, Maulana Azad Medical College (MAMC), Bahadur Shah Zafar Marg, New Delhi, 110002, India.

Indian Journal of Pediatrics
|December 25, 2012
PubMed

Insights

Posterior reversible encephalopathy syndrome (PRES) can cause seizures and visual loss in children. This case report details a child with meningitis who recovered fully within 10 days.

Area of Science:

  • Neurology
  • Radiology
  • Pediatrics

Background:

  • Posterior reversible encephalopathy syndrome (PRES) is a neurological condition.
  • PRES presents with headache, seizures, visual disturbances, and vomiting.
  • Radiological findings show posterior leukoencephalopathy.

Observation:

  • An 11-year-old boy with meningitis presented with acute symptoms.
  • The patient experienced transient hypertension and visual loss.
  • MRI revealed findings consistent with PRES.

Findings:

  • The patient's symptoms completely reversed within 10 days.
  • Extensive testing did not identify the cause of hypertension.
  • Transient autonomic dysfunction is a possible cause.

Implications:

  • This case highlights PRES as a potential complication of meningitis in children.
  • Early diagnosis and monitoring are crucial for favorable outcomes.
  • Further research into the causes of PRES, including autonomic dysfunction, is warranted.

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