Posterior Reversible Encephalopathy Syndrome Following Failure of Conservative Management in Renal Trauma: Case Report

Document Type

Article

Publication Date

11-1-2020

Journal Title

Urology

MeSH Headings

Child, Preschool; Conservative Treatment; Humans; Kidney (injuries); Male; Posterior Leukoencephalopathy Syndrome (etiology); Treatment Failure; Wounds, Nonpenetrating (complications, therapy)

Abstract

Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The resulting continued hypertension, as well as endothelial disruption, resulted in PRES as manifested by a single instance of generalized seizure. The patient regained normal neurological function following nephrectomy. Better understanding of the potential for acute hypertensive crisis resulting in PRES in the urology community may result in more urgent and effective management in these scenarios.

First Page

247

Last Page

249

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