Reversible encephalopathy complicating post-streptococcal glomerulonephritis.
We describe a 15-year-old boy with acute transient encephalopathy complicating poststreptococcal glomerulonephritis. Based on advanced magnetic resonance imaging, cerebral alterations were related to cerebrovascular autoregulatory dysfunction (ie, a vasogenic edema) and vasculitis was excluded. These insights into the pathophysiology improve patient management and argue against the therapeutic immunosuppression postulated by some authors.
Fux
Christoph A
CA
Institute of Infectious Diseases, University of Bern, Bern, Switzerland. christoph.fux@insel.ch
Bianchetti
Mario G
MG
Jakob
Stephan M
SM
Remonda
Luca
L
D000293:Adolescent; D001921:Brain / Q000473:pathology; D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis*; D001929:Brain Edema / Q000175:diagnosis; D005921:Glomerulonephritis / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013290:Streptococcal Infections / Q000150:complications*