• Bmc Pediatr · Jul 2014

    Case Reports

    Severe and isolated headache associated with hypertension as unique clinical presentation of posterior reversible encephalopathy syndrome.

    • Gregorio Paolo Milani, Alberto Edefonti, Giacomo Tardini, Elisa Arturi, Claudia Maria Cinnante, Emanuela Anna Laicini, Ernesto Leva, Alberto Maria Cappellari, Carlo Agostoni, and Emilio Filippo Fossali.
    • Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Pediatric Emergency Department, Milan, Italy. milani.gregoriop@gmail.com.
    • Bmc Pediatr. 2014 Jul 25; 14: 190.

    BackgroundPosterior reversible encephalopathy syndrome is a potentially reversible clinicoradiologic syndrome characterized by headache, mental confusion, visual disturbances and seizures associated with posterior cerebral lesions on radiological imaging. Prompt treatment of this condition is mandatory to avoid severe irreversible complications.Case PresentationWe report a 9-year-old boy with arterial hypertension and headache as unique clinical presentation of posterior reversible encephalopathy syndrome.ConclusionsSevere and isolated headache associated with arterial hypertension can be the unique clinical presentation of posterior reversible encephalopathy syndrome. This syndrome must be considered even in absence of all typical symptoms to prevent the progression of a potentially life threatening condition.

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