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KMID : 0391520170250030174
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Journal of the Korean Child Neurology Society
2017 Volume.25 No. 3 p.174 ~ p.178
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Posterior Reversible Encephalopathy Syndrome Accompanied by a Cerebral Hemorrhage and Restricted Diffusion in a Child with Uncontrolled Nephrotic Syndrome
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Jung Seung-Mi
Choi Seong-Eun
Kim Hye -Jeong
Ahn Yo-Han
Lee Kon-Hee
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Abstract
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Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-radiological syndrome that is characterized by an acute onset of headache, vomiting, visual abnormalities, confusion, and/or seizures and is typically accompanied with edema of predominantly posterior portions of the cerebral hemispheres. Here, we report a case of PRES with cerebral hemorrhage that occurred in a female pediatric patient with uncontrolled nephrotic syndrome. The patient s magnetic resonance imaging (MRI) studies showed asymmetric white matter abnormalities, cerebral hemorrhage, and restricted diffusion. After controlling her hypertension and nephrotic syndrome, her neurologic symptoms improved, and follow-up MRI findings revealed interval resolving of the white matter lesions.
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KEYWORD
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Posterior reversible encephalopathy syndrome , Nephrotic syndrome , Cerebral hemorrhage , Diffusion magnetic resonance imaging
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