Posterior Reversible Encephalopathy Syndrome in children/ adolescents with hematologic malignancies: Case reports

Authors

  • Rim Aidli Department of pediatric hematology, Aziza Othmana Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.
  • Marwa Bahri Department of pediatric hematology, Aziza Othmana Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.
  • Noureddine Louati Department of radiology, La Rabta Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.
  • Hela Sahbani Department of pediatric hematology, Aziza Othmana Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.
  • Emna Azza Department of pediatric hematology, Aziza Othmana Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.
  • Yosr Ben Abdennebi Department of pediatric hematology, Aziza Othmana Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.
  • Lamia Aissaoui Department of pediatric hematology, Aziza Othmana Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar,Tunis,Tunisia.

DOI:

https://doi.org/10.62438/tunismed.v103i4.5069

Keywords:

case report, chemotherapy, children, hematologic diseases, posterior leukoencephalopathy syndrome

Abstract

 

Introduction: Posterior Reversible Encephalopathy Syndrome (PRES) is one of the most common neurological complications in pediatric onco-hematology. Hematologic malignancies and cytotoxic chemotherapy are involved in its pathogenesis. It’s a clinical and radiological entity: the diagnosis of PRES is based on both clinical symptoms and neuroimaging data.

Observation: Here we reported a series of four cases of children/ adolescents treated by cytotoxic chemotherapy for hematologic malignancies who developed neurologic disorders and their magnetic resonance imaging findings were in favor of PRES.

Conclusion:In onco-hematology, children/ adolescents who present with new seizures, visual deficits, or other neurologic signs, PRES should be considered as a part of the differential diagnosis as a good outcome relies on rapid management of this complication

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References

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Additional Files

Published

2025-03-30