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Posterior Reversible Encephalopathy Syndrome in a Pediatric Patient with End-Stage Renal Disease

Ionela-Loredana Popa1, Mihaela Bălgrădean1,2, Mariana Costin1,2

  • 1Department of Pediatric Nephrology, "M.S. Curie" Emergency Clinical Hospital for Children, 077120 Bucharest, Romania.

Children (Basel, Switzerland)
|May 16, 2023
PubMed

Insights

Posterior reversible encephalopathy syndrome (PRES) can affect anyone and is diagnosed via clinical and imaging findings. This case highlights PRES in a boy with kidney disease, emphasizing early detection for prompt management.

Area of Science:

  • Neurology
  • Nephrology
  • Pediatrics

Background:

  • Posterior reversible encephalopathy syndrome (PRES) is a neurological condition with diverse causes affecting both children and adults.
  • Clinical symptoms include headaches, altered consciousness, seizures, and visual disturbances.
  • Early diagnosis of PRES is crucial for effective management.

Observation:

  • A case study of an eight-year-old boy diagnosed with PRES is presented.
  • The patient presented with bilateral renal hypoplasia and end-stage renal disease (ESRD).

Findings:

  • The case illustrates a link between end-stage renal disease (ESRD) and the development of PRES in a pediatric patient.
  • Neuroimaging confirmed PRES, correlating with the patient's underlying kidney condition.

Implications:

  • This case underscores the importance of considering PRES in children with ESRD presenting with neurological symptoms.
  • Recognizing PRES in the context of renal disease can guide appropriate treatment strategies.
  • Further research into the specific mechanisms linking renal disease and PRES in children may be warranted.

Keywords:
end-stage renal diseasehypertensionpediatricposterior reversible encephalopathy

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