Skip to main content
Top
Published in: European Journal of Pediatrics 7/2008

01-07-2008 | Short Report

Posterior reversible encephalopathy in a child with Langerhans cell histiocytosis following allogeneic PBSCT treatment with cyclosporine

Authors: Chi-Chieh Lai, Shyi-Jou Chen, Shao-Hung Lien, Chung-Ping Lo, Shin-Nang Cheng

Published in: European Journal of Pediatrics | Issue 7/2008

Login to get access

Abstract

Posterior reversible encephalopathy syndrome (PRES) is associated with a specific disorder of cerebrovascular autoregulation of multiple etiologies. This syndrome had been subsequently described in numerous medical conditions, including hypertensive encephalopathy, pre-eclampsia and the use with immunosuppressive drugs. Here, we report a child suffering from Langerhans cell histocytosis developing into PRES following immunosuppressive therapy. Symptoms and neuroimaging abnormalities were complete resolution subsequent to the withdrawal of cyclosporine. Although PRES is rarely seen among children, it should always be considered in the differential diagnosis of acute neurological illness, especially undergoing immunosuppressive therapy.
Literature
1.
go back to reference Casey SO, Sampaio RC, Michel E, Truwit CL (2000) Posterior reversible encephalopathy syndrome: Utility of fluid-attenuated inversion recovery MR imaging in the detection of cortical and subcortical lesions. Am J Neuroradiol 21:1199–1206PubMed Casey SO, Sampaio RC, Michel E, Truwit CL (2000) Posterior reversible encephalopathy syndrome: Utility of fluid-attenuated inversion recovery MR imaging in the detection of cortical and subcortical lesions. Am J Neuroradiol 21:1199–1206PubMed
2.
go back to reference Covarrubias DJ, Luetmer PH, Campeau NG (2002) Posterior reversible encephalopathy syndrome:prognostic utility of quantitative diffusion-weighted MR images. Am J Neuroradiol 23:1038–1048PubMed Covarrubias DJ, Luetmer PH, Campeau NG (2002) Posterior reversible encephalopathy syndrome:prognostic utility of quantitative diffusion-weighted MR images. Am J Neuroradiol 23:1038–1048PubMed
3.
go back to reference Engelter ST, Provenzale JM, Petrella JR (2000) Assessment of vasogenic edema in eclampsia using diffusion imaging. Neuroradiology 42:818–820PubMedCrossRef Engelter ST, Provenzale JM, Petrella JR (2000) Assessment of vasogenic edema in eclampsia using diffusion imaging. Neuroradiology 42:818–820PubMedCrossRef
4.
go back to reference Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, Pessin MS, Lamy C, Mas JL, Caplan LR (1996) A reversible posterior leucoencephalopathy syndrome. N Engl J Med 334:494–500PubMedCrossRef Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, Pessin MS, Lamy C, Mas JL, Caplan LR (1996) A reversible posterior leucoencephalopathy syndrome. N Engl J Med 334:494–500PubMedCrossRef
5.
go back to reference Lamy C, Oppenheim C, Meder JF, Mas JL (2004) Neuroimaging in posterior reversible encephalopathy syndrome. J Neuroimaging 14:89–96PubMedCrossRef Lamy C, Oppenheim C, Meder JF, Mas JL (2004) Neuroimaging in posterior reversible encephalopathy syndrome. J Neuroimaging 14:89–96PubMedCrossRef
6.
go back to reference Ozcakar ZB, Ekim M, Fitoz S, Teber S, Hizel S, Acar B, Yuksel S, Yalcinkaya F (2004) Hypertension induced reversible posterior leukoencephalopathy syndrome: a report of two cases. Eur J Pediatr 163:728–730PubMedCrossRef Ozcakar ZB, Ekim M, Fitoz S, Teber S, Hizel S, Acar B, Yuksel S, Yalcinkaya F (2004) Hypertension induced reversible posterior leukoencephalopathy syndrome: a report of two cases. Eur J Pediatr 163:728–730PubMedCrossRef
7.
go back to reference Provenzale JM, Petrella JR, Cruz LCH, Wong JC, Engelter S, Barboriak DP (2001) Quantitative assessment of diffusion abnormalities in posterior reversible encephalopathy syndrome. Am J Neuroradiol 22:1455–1461PubMed Provenzale JM, Petrella JR, Cruz LCH, Wong JC, Engelter S, Barboriak DP (2001) Quantitative assessment of diffusion abnormalities in posterior reversible encephalopathy syndrome. Am J Neuroradiol 22:1455–1461PubMed
8.
go back to reference Sloane JP, Lwin KY, Gore ME, Powles RL, Smith JF (1985) Disturbance of blood–brain barrier after bone–marrow transplantation. Lancet 2:280–281PubMedCrossRef Sloane JP, Lwin KY, Gore ME, Powles RL, Smith JF (1985) Disturbance of blood–brain barrier after bone–marrow transplantation. Lancet 2:280–281PubMedCrossRef
9.
go back to reference Strandgarrd S, Paulson OB (1984) Cerebral autoregulation. Stroke 15:413–416 Strandgarrd S, Paulson OB (1984) Cerebral autoregulation. Stroke 15:413–416
10.
go back to reference Teive HA, Brandi IV, Camargo CH, Bittencourt MA, Bonfim CM, Friedrich ML, de Medeiros CR, Werneck LC, Pasquini R (2001) Reversible posterior leucoencephalopathy syndrome associated with bone marrow transplantation. Arq Neuropsiquiatr 59:784–789PubMed Teive HA, Brandi IV, Camargo CH, Bittencourt MA, Bonfim CM, Friedrich ML, de Medeiros CR, Werneck LC, Pasquini R (2001) Reversible posterior leucoencephalopathy syndrome associated with bone marrow transplantation. Arq Neuropsiquiatr 59:784–789PubMed
Metadata
Title
Posterior reversible encephalopathy in a child with Langerhans cell histiocytosis following allogeneic PBSCT treatment with cyclosporine
Authors
Chi-Chieh Lai
Shyi-Jou Chen
Shao-Hung Lien
Chung-Ping Lo
Shin-Nang Cheng
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 7/2008
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-007-0564-2

Other articles of this Issue 7/2008

European Journal of Pediatrics 7/2008 Go to the issue