Posterior Reversible Encephalopathy Syndrome Complicating Ruptured Appendicitis and Abscess Drainage in a Previously Healthy Pediatric Patient

Taylor Saley; Alexander Barton; Shawn Berry Sood; Roopa Thukaram

doi:10.1055/s-0038-1668603

Posterior Reversible Encephalopathy Syndrome Complicating Ruptured Appendicitis and Abscess Drainage in a Previously Healthy Pediatric Patient

J Pediatr Intensive Care. 2019 Jun;8(2):92-95. doi: 10.1055/s-0038-1668603. Epub 2018 Aug 22.

Authors

Taylor Saley¹, Alexander Barton², Shawn Berry Sood³, Roopa Thukaram⁴

Affiliations

¹ Department of Pediatrics, University of Oklahoma School of Community Medicine, Tulsa, Oklahoma, United States.
² UGTA, Department of Biology, The University of Oklahoma, Norman, Oklahoma, United States.
³ Division of Pediatric Critical Care, Vanderbilt University School of Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, United States.
⁴ Division of Pediatric Intensive Care, The Children's Hospital at Saint Francis, 6161 South Yale Avenue, Tulsa, Oklahoma, United States.

Abstract

In this study, we present the youngest reported case of posterior reversible encephalopathy syndrome (PRES) in the United States, which developed following perforated appendicitis with subsequent peritonitis and intra-abdominal abscess formation. Additionally, we discuss potential physiological factors contributing to her acute neurological deterioration and resultant cerebral vasogenic edema.

Keywords: PRES; autoregulation; endothelium; seizures; sepsis.

Publication types

Case Reports