LMN Facial Palsy - Initial Presentation of Posterior Reversible Encephalopathy Syndrome (PRES) and Obstructive Hydrocephalus in a Young Child Due to Focal Segmental Glomerulosclerosis (FSGN) - Abstract
Lower Motor Nerve (LMN) facial palsy is a rare presentation of systemic hypertension in children. A 8.5 year old boy, initially had isolated right LMN facial palsy, progressed over 2 weeks to hypertensive encephalopathy, obstructive hydrocephalous, status epilepticus, renal injury with proteinuria treated symptomatic in PICU diagnosed as Focal Segmental Glomerulosclerosis (FSGS). Subsequently Child recovered neurologically without deficit. Blood pressure measurement is required in every child with isolated facial palsy. Obstructive hydrocephalus is a rare association with PRES