Hypertension induced reversible posterior leukoencephalopathy syndrome: a report of two cases.
Reversible posterior leukoencephalopathy syndrome (RPLS) is a recently described disorder with typical radiological findings of bilateral grey and white matter abnormalities in the posterior regions of the cerebral hemispheres. The majority of patients with RPLS are adults and it is rare in children. In this report, two patients with RPLS are presented. In the first patient the primary diagnosis was acute post-streptococcal glomerulonephritis, a known cause of RPLS both in adults and in children. The second patient had Henoch Schönlein purpura.


CONCLUSIONS
These patients are presented to highlight the importance of reversible posterior leukoencephalopathy syndrome. As the spectrum of associated diseases is diverse, paediatricians must be aware of this syndrome in order to initiate appropriate management.
Department of Paediatric Nephrology, Ankara University Medical School, Ankara, Turkey. lozca5ar@yahoo.com
Z Birsin
ZB
Ozcakar
Mesiha
M
Ekim
Suat
S
Fitoz
Serap
S
Teber
Selda
S
Hizel
Banu
B
Acar
Selcuk
S
Yüksel
Fatos
F
Yalcinkaya
D000293:Adolescent; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002648:Child; D005921:Glomerulonephritis / Q000150:complications* / Q000382:microbiology; D006801:Humans; D020343:Hypertensive Encephalopathy / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011695:IgA Vasculitis / Q000150:complications*; D008297:Male; D013290:Streptococcal Infections / Q000150:complications
D000959:Antihypertensive Agents