• Zakareya Gamie, Akheel Rizwan, Frances G Balen, Michael Clarke, and Mohammed M Hassoon.
• Department of Paediatrics, Pontefract General Infirmary, Pontefract, UK. ugm1zg@doctors.org.uk.
• J Med Case Rep. 2011 Jan 1;5:137.

IntroductionPosterior reversible encephalopathy syndrome is characterized by headache, nausea and vomiting, seizures and visual disturbances. It has certain characteristic radiological features, which allow diagnosis in the appropriate clinical setting and enable appropriate clinical therapy to be instituted.Case PresentationA 10-year-old Caucasian girl who was hospitalized due to recurrent vomiting was diagnosed as having posterior reversible encephalopathy syndrome after an initial diagnosis of cyclical vomiting and hypertension was made.ConclusionPosterior reversible encephalopathy syndrome is a rare disorder in children. Early recognition of characteristic radiological features is key to the diagnosis as clinical symptoms may be non-specific or mimic other neurological illnesses. To the best of our knowledge this is the first case to report an association between posterior reversible encephalopathy syndrome, cyclical vomiting and hypertension. Furthermore, in this case, the resolution of the abnormalities found on magnetic resonance imaging over time did not appear to equate with clinical recovery.

4 keywords...

hide…