Posterior reversible encephalopathy syndrome seen in a case of acu tepost-streptococcal glomerulonephritis: a case report

Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological condition that involves the acute onset of headache, confusion, optical impairments, seizures with accompanying vasogenic edema on brain imaging. Here 12 years old male patient presented complaints swelling in face legs, headache vomitings. He had history fever, sore throat tonsillitis days back. On physical examination weight height was between 25-50th percentile, BP 142/92 mmHg (>99th centile), he pretibial +2 periorbitol edema. At presentation urine analysis showed haematuria, proteinuria at nephritic level, elevated urea creatinine, increased ASO titre, low C3 C4 levels. After admission, an episode convulsion when 162/98 mm hg. Magnetic resonance imaging bilateral occipital, parietal, frontal cortex subcortical white matter T2/Fluid-attenuated inversion recovery (FLAIR) hyperintensitie, suggestive PRES. EEG found to be normal. MRI normal first month after starting antihypertensive anticonvulsive treatment. In year follow-up, blood pressure, neurological urinalysis findings were Thus, it suggested early diagnosis PRES patients features prompt treatment will prevent permanent neurologic sequale.