A PRESing case of visual changes and confusion

Tanisha Ronnie, Larrisa Beyerlein, Michael Murati, Jeffrey P. Louie

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Visual disturbances are an uncommon pediatric chief complaint. Usually, after a complete ocular exam including visual acuity, most causes are benign and not life-threatening. Children with abnormal visual complaints who have underlying medical conditions, such as SLE or other autoimmune conditions, a recipient of a transplant, renal disease, and even eclampsia require closer scrutiny. We report a 10-year-old female with a history of systemic lupus erythematosus complicated by hypertension and cardiomyopathy secondary to lupus who presented to the emergency department with a history of vision loss and headache. Head computer tomography demonstrated findings of posterior reversible encephalopathy syndrome (PRES). PRES is a clinical disease associated with cranial radiological findings of heterogenous etiologies that is often reversible. Prompt recognition and treatment are important in preventing permanent damage, long term morbidity and even death.

Original languageEnglish (US)
Pages (from-to)411.e1-411.e3
JournalAmerican Journal of Emergency Medicine
Issue number2
Early online dateNov 17 2019
StatePublished - Feb 2020

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.


  • Cerebral hypoattenuation
  • Head CT
  • Headache
  • Hypertension
  • Lupus
  • PRES, posterior reversible encephalopathy syndrome
  • Visual disturbances


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