Posterior Reversible Encephalopathy Syndrome Complicating Diabetic Ketoacidosis.

Abstract:

BACKGROUND:Posterior reversible encephalopathy syndrome (PRES) is a benign disorder of reversible subcortical vasogenic cerebral edema. CASE CHARACTERISTICS:A 13-yr-old girl presented 4 days after complete recovery from diabetic ketoacidosis with symptoms of headache, altered sensorium, seizures, and visual loss. There was no hypertension or biochemical abnormalities identified. MRI brain showed hyperintense areas in subcortical and periventricular white matter of bilateral fronto-parieto-occipetal lobes, with possible diagnosis of normotensive PRES. OUTCOME:Full recovery without sequelae, following neuro-protection and expectant treatment. MESSAGE:Identifying PRES in diabetic ketoacidosis assists appropriate treatment and prognostication.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Sathyanarayana SO,Sreenivas PK,Uddappa AM

subject

Has Abstract

pub_date

2019-03-15 00:00:00

pages

244-246

issue

3

eissn

0019-6061

issn

0974-7559

journal_volume

56

pub_type

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