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Neurology International
Volume 7
Issue 1
10.4081/ni.2015.5971
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Posterior Reversible Encephalopathy Syndrome and Acute Post-Streptococcal Glomerulonephritis Mimicking Breakthrough Seizures

by
Kamille Abdool
1,*,
Kanterpersad Ramcharan
1,
Neal Bhagwandass
2,
Navindra Persad
1,
Vasant Temull
1,
Karan Seegobin
1 and
Cassie Mike
1
1
Neurology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago
2
Nephrology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago
*
Author to whom correspondence should be addressed.
Neurol. Int. 2015, 7(1), 5971; https://doi.org/10.4081/ni.2015.5971
Submission received: 4 April 2015 / Accepted: 15 April 2015 / Published: 29 May 2015

Abstract

We report the case of a 14-year-old boy with a past history of primary generalized seizures, who had been seizure-free for 2 years on sodium valproate and presented with generalized tonic clonic seizures suggestive of breakthrough seizures. Examination revealed hypertension, impetiginous lesions of the lower limbs, microscopic hematuria, elevated antistreptolysin O titre and low complement levels consistent with acute post-streptococcal glomerulonephritis. Cranial magnetic resonance imaging (MRI) demonstrated changes consistent with posterior reversible encephalopathy syndrome. Hypertension was controlled with intravenous nitroglycerin followed by oral captopril and amlodipine. Brain MRI changes returned normal within 2 weeks. The nephritis went in to remission within 2 months and after 8 months the patient has been seizure free again. Posterior reversible encephalopathy syndrome appeared to have neither short nor intermediate effect on seizure control in this patient. The relationship between posterior reversible encephalopathy syndrome and seizures is reviewed.
Keywords: Posterior reversible encephalopathy syndrome; post-streptococcal glomerulonephritis; breakthrough seizures; neurology Posterior reversible encephalopathy syndrome; post-streptococcal glomerulonephritis; breakthrough seizures; neurology

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MDPI and ACS Style

Abdool, K.; Ramcharan, K.; Bhagwandass, N.; Persad, N.; Temull, V.; Seegobin, K.; Mike, C. Posterior Reversible Encephalopathy Syndrome and Acute Post-Streptococcal Glomerulonephritis Mimicking Breakthrough Seizures. Neurol. Int. 2015, 7, 5971. https://doi.org/10.4081/ni.2015.5971

AMA Style

Abdool K, Ramcharan K, Bhagwandass N, Persad N, Temull V, Seegobin K, Mike C. Posterior Reversible Encephalopathy Syndrome and Acute Post-Streptococcal Glomerulonephritis Mimicking Breakthrough Seizures. Neurology International. 2015; 7(1):5971. https://doi.org/10.4081/ni.2015.5971

Chicago/Turabian Style

Abdool, Kamille, Kanterpersad Ramcharan, Neal Bhagwandass, Navindra Persad, Vasant Temull, Karan Seegobin, and Cassie Mike. 2015. "Posterior Reversible Encephalopathy Syndrome and Acute Post-Streptococcal Glomerulonephritis Mimicking Breakthrough Seizures" Neurology International 7, no. 1: 5971. https://doi.org/10.4081/ni.2015.5971

APA Style

Abdool, K., Ramcharan, K., Bhagwandass, N., Persad, N., Temull, V., Seegobin, K., & Mike, C. (2015). Posterior Reversible Encephalopathy Syndrome and Acute Post-Streptococcal Glomerulonephritis Mimicking Breakthrough Seizures. Neurology International, 7(1), 5971. https://doi.org/10.4081/ni.2015.5971

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