DOI: 10.36347/sasjm.2023.v09i05.007

Pages: 434-426

Reversible posterior encephalopathy (PRES) is a clinico-radiological syndrome, which manifests as headaches, confusion, visual disturbances, convulsive seizures and radiological abnormalities of the white substance suggesting oedema of the posterior parieto occipital brain regions. It is a poorly known and very rare disease in children. In a 10-year-old boy with an untreated 15-day history of angina, he presents for headaches, associated with vomiting, or even photophobia-type visual disorders and earache-type otalgia and phonophobia, a disorder of conscience of more than 24 hours without the notion of convulsions and a hematuria in broth dirty. All associated with functional impotent of the lower limbs and meningeal syndrome. Cerebral MRI showed a signal abnormality in cortical subcortical range visible in bilateral parieto-occipital, T2 hypersignal and flair with discrete under cortical restriction of diffusion and not raised after injection. We are bringing a case of reversible posterior encephalopathy secondary to acute glomerulonephritis post-streptococcal associated with a meningeal syndrome that could likely be related to germless bacterial meningitis or meningeal hemorrhage. Early detection and prompt treatment are important measures to reduce morbidity and mortality.