Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders

Objective: Posterior reversible leukoencephalopathy syndrome (PRES) is characterized by headache, altered mental status, cortical blindness, and seizures associated with neuroradiological findings. It involves predominantly white matter of the parieto-occipital lobes. Several medications and disorde...

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Main Authors: Barış Malbora, Zekai Avcı, Fulden Dönmez, Bülent Alioğlu, Esra Baskın, Füsun Alehan, Namık Özbek
Format: Article
Language:English
Published: Galenos Publishing House 2010-09-01
Series:Turkish Journal of Hematology
Subjects:
Online Access:http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-62681
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author Barış Malbora
Zekai Avcı
Fulden Dönmez
Bülent Alioğlu
Esra Baskın
Füsun Alehan
Namık Özbek
author_facet Barış Malbora
Zekai Avcı
Fulden Dönmez
Bülent Alioğlu
Esra Baskın
Füsun Alehan
Namık Özbek
author_sort Barış Malbora
collection DOAJ
description Objective: Posterior reversible leukoencephalopathy syndrome (PRES) is characterized by headache, altered mental status, cortical blindness, and seizures associated with neuroradiological findings. It involves predominantly white matter of the parieto-occipital lobes. Several medications and disorders play a role in the etiology of PRES. In this study, we aimed to show how the prognosis of PRES in hematological diseases of childhood might be according to the etiological factors.Materials and Methods: Here, we report PRES in six patients, aged 4 to 14 years, with diagnoses of leukemia and aplastic anemia. Results: Suggested causes in our patients were chemotherapeutics, hypertension, infection and antimicrobial drug administration, tumor lysis syndrome, acute renal failure and hemodialysis, immunosuppressive drug administration, and hypomagnesemia. One of the patients died of sepsis, renal failure and pulmonary hemorrhage and another died of relapse after total recovery from PRES. The other four patients are under follow-up without problems. Conclusion: We suggest that PRES can recover fully with early diagnosis and treatment whereas it can show poor prognosis depending on the etiology.
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spelling doaj.art-3047afb09eab41949a0b9a22cf3ef3492023-09-03T11:16:30ZengGalenos Publishing HouseTurkish Journal of Hematology1300-77771308-52632010-09-012703168176Posterior reversible leukoencephalopathy syndrome in children with hematologic disordersBarış MalboraZekai AvcıFulden DönmezBülent AlioğluEsra BaskınFüsun AlehanNamık ÖzbekObjective: Posterior reversible leukoencephalopathy syndrome (PRES) is characterized by headache, altered mental status, cortical blindness, and seizures associated with neuroradiological findings. It involves predominantly white matter of the parieto-occipital lobes. Several medications and disorders play a role in the etiology of PRES. In this study, we aimed to show how the prognosis of PRES in hematological diseases of childhood might be according to the etiological factors.Materials and Methods: Here, we report PRES in six patients, aged 4 to 14 years, with diagnoses of leukemia and aplastic anemia. Results: Suggested causes in our patients were chemotherapeutics, hypertension, infection and antimicrobial drug administration, tumor lysis syndrome, acute renal failure and hemodialysis, immunosuppressive drug administration, and hypomagnesemia. One of the patients died of sepsis, renal failure and pulmonary hemorrhage and another died of relapse after total recovery from PRES. The other four patients are under follow-up without problems. Conclusion: We suggest that PRES can recover fully with early diagnosis and treatment whereas it can show poor prognosis depending on the etiology.http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-62681Acute leukemiaaplastic anemiaposterior reversible leukoencephalopathy syndrometumor lysis syndrome
spellingShingle Barış Malbora
Zekai Avcı
Fulden Dönmez
Bülent Alioğlu
Esra Baskın
Füsun Alehan
Namık Özbek
Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
Turkish Journal of Hematology
Acute leukemia
aplastic anemia
posterior reversible leukoencephalopathy syndrome
tumor lysis syndrome
title Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
title_full Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
title_fullStr Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
title_full_unstemmed Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
title_short Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
title_sort posterior reversible leukoencephalopathy syndrome in children with hematologic disorders
topic Acute leukemia
aplastic anemia
posterior reversible leukoencephalopathy syndrome
tumor lysis syndrome
url http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-62681
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AT zekaiavcı posteriorreversibleleukoencephalopathysyndromeinchildrenwithhematologicdisorders
AT fuldendonmez posteriorreversibleleukoencephalopathysyndromeinchildrenwithhematologicdisorders
AT bulentalioglu posteriorreversibleleukoencephalopathysyndromeinchildrenwithhematologicdisorders
AT esrabaskın posteriorreversibleleukoencephalopathysyndromeinchildrenwithhematologicdisorders
AT fusunalehan posteriorreversibleleukoencephalopathysyndromeinchildrenwithhematologicdisorders
AT namıkozbek posteriorreversibleleukoencephalopathysyndromeinchildrenwithhematologicdisorders