CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci
DOI: 10.1055/s-0041-1733302
Case Report

Mild Encephalitis/Encephalopathy with Reversible Splenial Lesion Type II with New Spectrum

Nishant Nayyar
1  Department of Radiodiagnosis, Dr. Rajendra Prasad Govt Medical College, Tanda, Kangra, Himachal Pradesh, India
,
Lokesh Rana
1  Department of Radiodiagnosis, Dr. Rajendra Prasad Govt Medical College, Tanda, Kangra, Himachal Pradesh, India
,
Dinesh Sood
1  Department of Radiodiagnosis, Dr. Rajendra Prasad Govt Medical College, Tanda, Kangra, Himachal Pradesh, India
,
Indrajeet Singh Chauhan
1  Department of Radiodiagnosis, Dr. Rajendra Prasad Govt Medical College, Tanda, Kangra, Himachal Pradesh, India
,
Sudhir Yadav
1  Department of Radiodiagnosis, Dr. Rajendra Prasad Govt Medical College, Tanda, Kangra, Himachal Pradesh, India
› Author Affiliations

Abstract

Mild encephalitis/encephalopathy with reversible splenial lesion (MERS) is a clinicoradiological entity characterized by mild encephalopathy with typical radiological findings. We report a case of 10-year-old male child who presented with abnormal body movements and altered consciousness. MRI revealed typical Middle Eastern respiratory syndrome (MERS) type II lesions. On follow-up, although patient improved clinically with reversal of MERS type II lesions; however, multiple punctuate blooming foci, suggesting microhemorrhages, were seen on imaging in bilateral cerebral hemispheres. This has not been documented yet and signifies a new spectrum of MERS.



Publication History

Publication Date:
28 July 2021 (online)

© 2021. National Academy of Medical Sciences (India). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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