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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Posterior reversible encephalopathy syndrome in a child with cyclical vomiting and hypertension: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Zakareya Gamie, Akheel Rizwan, Frances G Balen, Michael Clarke, Mohammed M Hassoon
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-137) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

ZG reviewed the literature, wrote a first draft of the manuscript, corrected, finalized and submitted the manuscript. AR reviewed the literature and edited the manuscript. FGB analyzed the MRI images, reviewed the literature and edited the manuscript. MC reviewed the literature and edited the manuscript. MH was involved with the conception of the report and managed the case. All authors read and approved the final manuscript.

Abstract

Introduction

Posterior reversible encephalopathy syndrome is characterized by headache, nausea and vomiting, seizures and visual disturbances. It has certain characteristic radiological features, which allow diagnosis in the appropriate clinical setting and enable appropriate clinical therapy to be instituted.

Case presentation

A 10-year-old Caucasian girl who was hospitalized due to recurrent vomiting was diagnosed as having posterior reversible encephalopathy syndrome after an initial diagnosis of cyclical vomiting and hypertension was made.

Conclusion

Posterior reversible encephalopathy syndrome is a rare disorder in children. Early recognition of characteristic radiological features is key to the diagnosis as clinical symptoms may be non-specific or mimic other neurological illnesses. To the best of our knowledge this is the first case to report an association between posterior reversible encephalopathy syndrome, cyclical vomiting and hypertension. Furthermore, in this case, the resolution of the abnormalities found on magnetic resonance imaging over time did not appear to equate with clinical recovery.

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