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

Gregorio P. Milani; Alberto Edefonti; Giacomo Tardini; Elisa Arturi; Claudia M. Cinnante; Emanuela A. Laicini; Ernesto Leva; Alberto M. Cappellari; Carlo Agostoni; Emilio F. Fossali

doi:10.1186/1471-2431-14-190

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

Gregorio P. Milani, Alberto Edefonti, Giacomo Tardini, Elisa Arturi, Claudia M. Cinnante, Emanuela A. Laicini, Ernesto Leva, Alberto M. Cappellari, Carlo Agostoni, Emilio F. Fossali

Fondazione IRCCS Ca' Granda- Ospedale Maggiore Policlinico

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Posterior 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 presentation: We report a 9-year-old boy with arterial hypertension and headache as unique clinical presentation of posterior reversible encephalopathy syndrome.Conclusions: Severe 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.

Original language	English
Article number	190
Journal	BMC Pediatrics
Volume	14
Issue number	1
DOIs	https://doi.org/10.1186/1471-2431-14-190
Publication status	Published - Jul 25 2014

Keywords

Arterial hypertension
Headache
Posterior reversible encephalopathy syndrome

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Medicine(all)

Access to Document

10.1186/1471-2431-14-190

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Severe and isolated headache associated with hypertension as unique clinical presentation of posterior reversible encephalopathy syndrome. / Milani, Gregorio P.; Edefonti, Alberto; Tardini, Giacomo; Arturi, Elisa; Cinnante, Claudia M.; Laicini, Emanuela A.; Leva, Ernesto ; Cappellari, Alberto M.; Agostoni, Carlo ; Fossali, Emilio F.

In: BMC Pediatrics, Vol. 14, No. 1, 190, 25.07.2014.

Research output: Contribution to journal › Article › peer-review

Milani, Gregorio P. ; Edefonti, Alberto ; Tardini, Giacomo ; Arturi, Elisa ; Cinnante, Claudia M. ; Laicini, Emanuela A. ; Leva, Ernesto ; Cappellari, Alberto M. ; Agostoni, Carlo ; Fossali, Emilio F. / Severe and isolated headache associated with hypertension as unique clinical presentation of posterior reversible encephalopathy syndrome. In: BMC Pediatrics. 2014 ; Vol. 14, No. 1.

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AU - Milani, Gregorio P.

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AU - Tardini, Giacomo

AU - Arturi, Elisa

AU - Cinnante, Claudia M.

AU - Laicini, Emanuela A.

AU - Leva, Ernesto

AU - Cappellari, Alberto M.

AU - Agostoni, Carlo

AU - Fossali, Emilio F.

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AB - Background: Posterior 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 presentation: We report a 9-year-old boy with arterial hypertension and headache as unique clinical presentation of posterior reversible encephalopathy syndrome.Conclusions: Severe 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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