Posterior reversible leukoencephalopathy syndrome with spinal cord involvement in a 9-year-old girl

YİŞ U., KARAOĞLU P., Kurul S. H., SOYLU A., Cakmakci H., KAVUKÇU S.

BRAIN & DEVELOPMENT, vol.38, no.1, pp.154-157, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 38 Issue: 1
  • Publication Date: 2016
  • Doi Number: 10.1016/j.braindev.2015.07.001
  • Journal Name: BRAIN & DEVELOPMENT
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.154-157
  • Keywords: Posterior reversible leukoencephalopathy syndrome, Spinal cord, Child, Myelitis, ENCEPHALOPATHY SYNDROME, HYPERTENSIVE ENCEPHALOPATHY
  • Dokuz Eylül University Affiliated: Yes

Abstract

We report the youngest pediatric case of posterior reversible leukoencephalopathy syndrome confined to brainstem and spinal cord. At presentation bicytopenia, renal derangement, visual disturbances, magnetic resonance imaging findings, increased protein content, IgG index and cell count in the cerebrospinal fluid led us to extensive search for myelitis. She received a short course of steroid treatment. The final diagnosis was hypertension due to reflux nephropathy. Severe hypertension that exceeds the range of autoregulation in anterior spinal territory may result in spinal posterior reversible leukoencephalopathy syndrome. Clinicians should be aware of spinal posterior reversible leukoencephalopathy syndrome when cases have extensive lesions in the brainstem and spinal cord with none or minimal clinical findings, so called "clinical radiologic dissociation".