Posterior Reversible Encephalopathy Syndrome in a Pediatric Intensive Care Unit: A Case Series

Teixeira, Beatriz; Gonçalves, Vera; Cardoso, Ana Lúcia; Ribeiro Fernandes, Sofia; Rocha, Liliana; Garrido, Cristina; Sarmento, Alzira

http://hdl.handle.net/10400.16/2987

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Authors

Teixeira, Beatriz

Gonçalves, Vera

Cardoso, Ana Lúcia

Ribeiro Fernandes, Sofia

Rocha, Liliana

Garrido, Cristina

Sarmento, Alzira

Abstract(s)

Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical-radiographic abnormality. It is characterized by headache, altered consciousness, seizures, and visual disruption, in addition to characteristic white matter edema lesions in the parieto-occipital areas of the brain. Early detection and treatment are crucial to prevent irreversible damage. This paper presents the cases of three patients with PRES with concurrent diagnoses of glomerulonephritis, Guillain-Barré syndrome, and sickle cell disease. All patients experienced systemic hypertension, seizures, and altered consciousness. All patients were admitted to intensive care for decreased level of awareness or status epilepticus requiring invasive mechanical ventilation. Anticonvulsants and antihypertensive therapy were essential. No chronic complications were recorded.

Keywords

antihypertensive therapy hypertension posterior reversible encephalopathy syndrome seizure vasogenic edema

URI

http://hdl.handle.net/10400.16/2987

Citation

Teixeira B, Gonçalves V, Cardoso AL, et al. Posterior Reversible Encephalopathy Syndrome in a Pediatric Intensive Care Unit: A Case Series. Cureus. 2023;15(12):e50658. doi:10.7759/cureus.50658