title: Pediatric posterior reversible encephalopathy syndrome presenting with isolated cerebellar edema and obstructive hydrocephalus.
abstract: In this report, the authors describe the case of a teenage boy who presented with hypertensive emergency, posterior reversible encephalopathy syndrome, and hydrocephalus due to fourth ventricle outlet obstruction. Posterior reversible encephalopathy syndrome is a well-characterized but uncommon syndrome in children that is generally triggered by severe hypertension. The unusual clinical picture of this patient, who had isolated cerebellar edema leading to obstructive hydrocephalus, has been rarely described in children.
authors: Division of Pediatric Critical Care, Department of Pediatrics, and.
authors: Nicholas
authors: N
authors: Ettinger
authors: Matthew
authors: M
authors: Pearson
authors: Fred S
authors: FS
authors: Lamb
authors: John C
authors: JC
authors: Wellons
mesh_terms: D000293:Adolescent; D000959:Antihypertensive Agents / Q000008:administration & dosage; D001929:Brain Edema / Q000150:complications / Q000209:etiology*; D002531:Cerebellum / Q000473:pathology*; D004322:Drainage / Q000379:methods; D020546:Fourth Ventricle; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery*; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy; D017379:Hypertrophy, Left Ventricular / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D054038:Posterior Leukoencephalopathy Syndrome / Q000150:complications* / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
chemical_list: D000959:Antihypertensive Agents
keywords: BUN = blood urea nitrogen; Cr = creatinine; ED = emergency department; EVD = external ventricular drain; PRES = posterior reversible encephalopathy syndrome; hypertension; obstructive hydrocephalus; pediatric; posterior reversible encephalopathy syndrome; vascular disorders