PDF herunterladen
CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2021; 57(03): 112-114
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
› Institutsangaben
› Weitere Informationen
   Lizenzen und Reprints

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.

Keywords

encephalitis - encephalopathy - splenium - centrum semiovale


Publikationsverlauf

Artikel online veröffentlicht:
28. Juli 2021

© 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/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Tada H, Takanashi J, Barkovich AJ. et al Clinically mild encephalitis/encephalopathy with a reversible splenial lesion. Neurology 2004; 63 (10) 1854-1858
    CrossrefPubMedGoogle Scholar
  • 2 Takanashi J, Barkovich AJ, Shiihara T. et al Widening spectrum of a reversible splenial lesion with transiently reduced diffusion. Am J Neuroradiol 2006; 27 (04) 836-838
    PubMedGoogle Scholar
  • 3 Takanashi J, Imamura A, Hayakawa F, Terada H. Differences in the time course of splenial and white matter lesions in clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS. J Neurol Sci 2010; 292 (1-2) 24-27
    CrossrefPubMedGoogle Scholar
  • 4 Ueda N, Minami S, Akimoto M. Mycoplasma pneumoniae-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review. BMC Infect Dis 2016; 16 (01) 671
    CrossrefPubMedGoogle Scholar
  • 5 Fang Q, Chen L, Chen Q, Lin Z, Yang F. Clinically mild encephalitis/encephalopathy with a reversible splenial lesion of corpus callosum in Chinese children. Brain Dev 2017; 39 (04) 321-326
    CrossrefPubMedGoogle Scholar
  • 6 Notebaert A, Willems J, Coucke L. Van Coster R, Verhelst H. Expanding the spectrum of MERS type 2 lesions, a particular form of encephalitis. Pediatr Neurol 2013; 48 (02) 135-138
    CrossrefPubMedGoogle Scholar
  • 7 Kashiwagi M, Tanabe T, Shimakawa S. et al Clinico-radiological spectrum of reversible splenial lesions in children. Brain Dev 2014; 36 (04) 330-336
    CrossrefPubMedGoogle Scholar