Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2020 Dec 31;58(232):1072-1074. doi: 10.31729/jnma.5065.
Posterior reversible encephalopathy syndrome is a clinical-radiological syndrome neurological disorder with varied symptoms which include headache, visual field defects, seizures, altered consciousness. It is a rare complication of post-streptococcal glomerulonephritis and results in life-threatening manifestations if not managed on time. Although reversible by definition, complications like status epilepticus, intracranial hemorrhage, and ischemic infarction may lead to mortality and morbidity. We report a case of a 9-year-old female patient with posterior reversible encephalopathy syndrome who presented with multiple episodes of seizures and bilateral painless loss of vision for 1 day. Due to her severity, a computed tomography scan was sent which revealed a hypodense lesion in the brain. She was admitted to the pediatric intensive care unit and managed with supportive care for 6 days where she died on the 6th day. Vital signs are simple but important and if overlooked can lead to a series of complicated events.
后部可逆性脑病综合征是一种具有多种症状的临床-放射学综合征神经系统疾病，包括头痛、视野缺陷、癫痫发作、意识改变。它是链球菌后肾小球肾炎的罕见并发症，如果不及时治疗，会导致危及生命的表现。尽管根据定义是可逆的，但癫痫持续状态、颅内出血和缺血性梗死等并发症可能导致死亡率和发病率。我们报告了一例 9 岁女性患者，患有后部可逆性脑病综合征，表现为多次癫痫发作和双侧无痛性视力丧失 1 天。由于她的病情严重，进行了计算机断层扫描，显示大脑中有一个低密病灶。她被收入儿科重症监护病房，接受了 6 天的支持性治疗，第 6 天死亡。生命体征虽然简单但很重要，如果被忽视，可能会导致一系列复杂的事件。
