Research advances of posterior reversible encephalopathy syndrome in children.
- Author:
Jing LIU
1
;
Jiong QIN
Author Information
1. Department of Pediatrics, Peking University People's Hospital, Beijing 100044, China. liujingdrm@163.com.
- Publication Type:Journal Article
- MeSH:
Child;
Diagnosis, Differential;
Humans;
Posterior Leukoencephalopathy Syndrome;
diagnostic imaging;
etiology;
therapy;
Prognosis
- From:
Chinese Journal of Contemporary Pediatrics
2016;18(8):787-791
- CountryChina
- Language:Chinese
-
Abstract:
Posterior reversible encephalopathy syndrome (PRES) is a clinico-neuroradiological entity affecting the posterior brain, i.e. occipital and parietal lobes. The syndrome are characterized by headaches, altered mental status, seizures, and visual disturbances. Although the pathogenesis remains unclear, endothelial dysfunction may be a key factor. The basic disease may play a crucial role in the incidence of PRES. In most cases, PRES resolves spontaneously and patients show both clinical and radiological improvements. In severe forms, PRES might cause substantial morbidity with sequel and even mortality, as a result of acute hemorrhage or massive posterior fossa edema causing obstructive hydrocephalus or brainstem compression. Early identification, active and appropriate treatment is very important.
