Advertisment
Indian Journal of Nephrology About us |  Subscription |  e-Alerts  | Feedback | Login   
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
 Home | Current Issue | Archives| Ahead of print | Search |Instructions |  Editorial Board  

Users Online:1377

Official publication of the Indian Society of Nephrology
  Search
 
  
 ~  Similar in PUBMED
 ~  Search Pubmed for
 ~  Search in Google Scholar for
 ~  Article in PDF (229 KB)
 ~  Citation Manager
 ~  Access Statistics
 ~  Reader Comments
 ~  Email Alert *
 ~  Add to My List *
* Registration required (free)  

 
   References

 Article Access Statistics
    Viewed665    
    Printed44    
    Emailed0    
    PDF Downloaded64    
    Comments [Add]    

Recommend this journal

 


 
  Table of Contents  
LETTER TO EDITOR
Year : 2012  |  Volume : 22  |  Issue : 6  |  Page : 486
 

Cortical blindness in a child with acute glomerulonephritis


Department of Pediatrics, ESI-PGIMSR and Mahatma Gandhi Memorial Hospital, Mumbai, India

Date of Web Publication14-Jan-2013

Correspondence Address:
P Shanbag
801, Yashowan, T. H. Kataria Marg, Mahim, Mumbai - 400 012
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.106051

Rights and Permissions



How to cite this article:
Shanbag P, Chauhan U. Cortical blindness in a child with acute glomerulonephritis. Indian J Nephrol 2012;22:486

How to cite this URL:
Shanbag P, Chauhan U. Cortical blindness in a child with acute glomerulonephritis. Indian J Nephrol [serial online] 2012 [cited 2019 Sep 17];22:486. Available from: http://www.indianjnephrol.org/text.asp?2012/22/6/486/106051


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 Top

1.Kaarthigeyan K, Vijayalakshmi AM. Cortical blindness in a child with acute glomerulonephritis. Indian J Nephrol 2012;22:42-4.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Brouhard BH, Travis LB. Acute postinfectious glomerulonephritis. In: Edelmann CM, editor. Pediatric Kidney Disease. 2 nd ed. Boston, Little Brown and Company; 1992. p. 1199-221.  Back to cited text no. 2
    




 

Top
Print this article  Email this article
 

    

Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07