Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Author Reply
Book Review
Brief Communication
Case Report
Case Series
Clinical Case Report
Clinicopathological Conference
Commentary
Corrigendum
Editorial
Editorial – World Kidney Day 2016
Editorial Commentary
Erratum
Foreward
Guidelines
Image in Nephrology
Images in Nephrology
Letter to Editor
Letter to the Editor
Letters to Editor
Literature Review
Notice of Retraction
Obituary
Original Article
Perspective
Research Letter
Retraction Notice
Review
Review Article
Short Review
Special Article
Special Feature
Special Feature - World Kidney Day
Systematic Review
Technical Note
Varia
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Author Reply
Book Review
Brief Communication
Case Report
Case Series
Clinical Case Report
Clinicopathological Conference
Commentary
Corrigendum
Editorial
Editorial – World Kidney Day 2016
Editorial Commentary
Erratum
Foreward
Guidelines
Image in Nephrology
Images in Nephrology
Letter to Editor
Letter to the Editor
Letters to Editor
Literature Review
Notice of Retraction
Obituary
Original Article
Perspective
Research Letter
Retraction Notice
Review
Review Article
Short Review
Special Article
Special Feature
Special Feature - World Kidney Day
Systematic Review
Technical Note
Varia
View/Download PDF

Translate this page into:

Letters to Editor
22 (
6
); 486-486
doi:
10.4103/0971-4065.106051

Cortical blindness in a child with acute glomerulonephritis

Department of Pediatrics, ESI-PGIMSR and Mahatma Gandhi Memorial Hospital, Mumbai, India
Address for correspondence: Dr. Preeti Shanbag, 801, Yashowan, T. H. Kataria Marg, Mahim, Mumbai - 400 012, India. E-mail: pshanbag@gmail.com
Licence

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher.

Sir,

We read with interest the article on “Cortical blindness in a child with acute glomerulonephritis” by Kaarthigeyan and Vijayalakshmi.[1]

However, we do not agree with their statements that “hypertensive encephalopathy and cortical blindness in children with acute glomerulonephritis are extremely rare” or that “Posterior reversible encephalopathy syndrome (PRES) revealing acute glomerulonephritis is extremely rare in children.”

The syndrome of hypertensive encephalopathy has been described in about 5% of hospitalized patients with acute glomerulonephritis. This may be accompanied by signs of central nervous system dysfunctions such as headache, vomiting, depressed sensorium, convulsions, aphasia, memory loss, and visual disturbances and appears to occur more often in a child who is minimally to moderately edematous as compared to those with severe edema.[2]

In our own experience, we have seen patients who have been referred to us after consultation with ophthalmologists and even after neuro-imaging but with no measurement of blood pressure.

A diagnosis of posterior reversible encephalopathy syndrome should be considered in any child presenting with the above symptoms. Blood pressure should be measured in all children and especially so in these children. Acute glomerulonephritis is a common cause of acute hypertension in children and should be investigated for.

References

  1. , , . Cortical blindness in a child with acute glomerulonephritis. Indian J Nephrol. 2012;22:42-4.
    [Google Scholar]
  2. , , . Acute postinfectious glomerulonephritis. In: , ed. Pediatric Kidney Disease (2nd ed). Boston: Little Brown and Company; . p. :1199-221.
    [Google Scholar]

    Fulltext Views
    59

    PDF downloads
    26
    View/Download PDF
    Download Citations
    BibTeX
    RIS
    Show Sections