Posterior reversible encepalopathy syndrome (PRES), or reversible posterior leukoencephalopathy, is a neurologic condition characterized by recognizable pattern of altered mental status, headache, visual changes and seizures in association with findings indicating a predominantly posterior leucoencephalopathy on imaging studies. It has rarely been described in children. We report two cases of pediatric systemic lupus erythematosus (SLE) complicated by PRES and review the literature. Lupus (2007) 16, 576—579.
The American College of Rheumatology.Nomenclature and Case Definitions for Neuropsychiatric Lupus Syndromes. Arthritis Rheum1999; 42: 599—608.
2.
Yancy CL, Doughty RA, Athreya BHCentral nervous system involvement in childhood systemic lupus erythematosus . Arthritis Rheum1981; 24: 1389—1395.
3.
Parikh S., Swaiman KF, Kim Y.Neurologic characteristics of childhood lupus erythematosus. Pediatr Neurol1995; 13: 198—201.
4.
Steinlin MI, Blaser SI, Gilday DL et al. Neurologic manifestations of pediatric systemic lupus erythematosus . Pediatr Neurol1995; 13: 191—197.
5.
Quintero-Del Rio AI, Miller V.Neurologic symptoms in children with systemic lupus erythematosus. J Child Neurol2000; 12: 803—807.
6.
Sibbitt WL Jr, Brandt JR, Johnson CR et al. The incidence and prevalence of neuropsychiatric syndromes in pediatric onset systemic lupus erythematosus. J Rheumatol2002; 29: 1536—1542.
7.
Yu HH, Lee JH, Wang YH, Chiang BLNeuropsychiatric manifestations in pediatric systemic lupus erythematosus: a 20-year study. Lupus2006; 15: 651—657.
8.
Harel L., Sandborg C., Lee T., von Scheven E.Neuropsychiatric manifestations in pediatric systemic lupus erythematosus and association with antiphospholipid antibodies. J Rheumatol2006; 33: 1873—1877.
9.
Avcin T., Benseler S., Tyrrell PN, Silverman EDLongitudinal follow-up study of antiphospholipid antibodies and associated neuropsychiatric manifestations in 137 children with systemic lupus erythematosus . J Rheumatol2006; 33: 389—390.
10.
Al-Mayouf SM , Bahabri S.Spinal cord involvement in pediatric systemic lupus erythematosus: Case report and literature review. Clin Exp Rheumatol1999; 17: 505—508.
11.
Mok CC, Lau CS, Chan Eyt, Wong Rws.Acute transverse myelopathy in systemic lupus erythematosus: clinical presentation, treatment, and outcome. J Rheumatol1998; 25: 467—473.
12.
Dupla ML, Khamashta MA, Sanchez AD, Ingles FP, Uriol PL, Aguado AGTransverse myelitis as a first manifestation of systemic lupus erythematosus: a case report. Lupus1995; 4: 239—242.
13.
D'Cruz DP, Mellor-Pita S., Joven B. et al. Transverse myelitis as the first manifestation of systemic lupus erythematosus or lupus-like disease: good functional outcome and relevance of antiphospholipid antibodies. J Rheumatol2004; 31: 280—285.
14.
Deodhar AA, Hochenedel T., Bennett RMLongitudinal involvement of the spinal cord in a patient with lupus related transverse myelitis. J Rheumatol1999; 26: 446—449.
15.
Tellez-Zenteno JF, Remes-Troche JM, Negrete-Pulido RO, Davial-Maldonado L.Longitudinal myelitis associated with systemic lupus erythematosus: clinical features and magnetic resonance imaging of six cases. Lupus2001; 10: 851—856.
16.
Lavalle C., Pizarro S., Drenkard C., Sanchez-Guerrero J., Alarcon-Segovia D.Tranverse myelitis: a manifestation of systemic lupus erythematosus strongly associated with antiphospholipid antibodies. J Rheumatol1990; 17: 34—37.
17.
Harisdangkul V., Doorenbos D., Subramony SHLupus transverse myelopathy: better outcome with early recognition and aggressive high-dose intravenous corticosteroid pulse treatment. J Neurol1995; 242: 326—331.
18.
Silber TJ, Chatoor I., White PHPsychiatric manifestations of systemic lupus erythematosus in children and adolescents. Clin Pediatr1984; 23: 331—335.
19.
Warnatz K., Peter HH, Schumacher M. et al. Infectious CNS disease as a differential diagnosis in systemic rheumatic diseases: three case reports and a review of the literature. Ann Rheum Dis2003; 62: 50—57.
20.
Hinchey J., Chaves C., Appignani B. et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med1996; 334: 494—500.
21.
Ishikura K. , Ikeda M., Hamasaki Y. et al. Posterior reversible encephalopathy syndrome in children: its high prevalence and more extensive imaging findings . Am J Kidney Dis2006; 48: 231—238.
22.
Mavragani CP , Vlachoyiannopoulos PG, Kosmas N. et al. A case of reversible posterior leucoencephalopathy syndrome after rituximab infusion . Rheumatology2004; 43: 1450—1451.
23.
Magnano MD, Bush TM, Herrera I., Altman RDReversible posterior leukoencephalopathy in patients with systemic lupus erythematosus . Semin Arthritis Rheum2006; 35: 396—402.
24.
Kur JK, Esdaile JMPosterior reversible encephalopathy syndrome—an underrecognized manifestation of systemic lupus erythematosus. J Rheumatol2006; 33: 2178—2183.