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Lee, Kang, and Ma: A Case of Posterior Reversible Leukoencephalopathy Syndrome Following Poststreptococcal Glomerulonephritis
Case Report

Pediatric Infection & Vaccine 2015; 22(2): 113-116.

Published online: 28 August 2015

DOI: https://doi.org/10.14776/piv.2015.22.2.113

A Case of Posterior Reversible Leukoencephalopathy Syndrome Following Poststreptococcal Glomerulonephritis

Eun Kyoung Lee1, Jin Han Kang1, Sang Hyuk Ma2

1Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea.

2Department of Pediatrics, Fatima Hospital, Changwon, Korea.

Corresponding author (msh6517@hanmail.net)

Received 8 May 2015       Revised 6 June 2015       Accepted 8 June 2015

Copyright © 2015 The Korean Society of Pediatric Infectious Diseases

Abstract

Posterior reversible leukoencephalopathy syndrome is a clinical radiographic syndrome of many causative factors. Sudden onset headache, vomiting, altered mental status, blurred vision and seizures are main symptoms shown in posterior reversible leukoencephalopathy syndrome. In addition, it typically shows radiological findings of edema in the white matter of posterior cerebrum, being in commonly bilateral but asymmetric. We report a case of poststreptococcal glomerulonephritis (PSGN) presenting as posterior reversible leukoencephalopathy syndrome. Immediate control of hypertension resulted in rapid and complete neurological recovery.

Keywords: Posterior leukoencephalopathy syndrome, Streptococcal infection, Glomerulonephritis

Figures and Tables

Fig. 1

Brain MRI. (A, B) T2-weighted MR image performed 1 day after seizure onset. The initial image demonstrates bilateral increased signal intensity in the occipital cortex and subcortical white matter. (C, D) T2-weighted MR image, performed 12 days after seizure onset, shows almost complete resolution of the previous abnormalities.

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