A case of clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination.
Identifieur interne : 002488 ( Main/Curation ); précédent : 002487; suivant : 002489A case of clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination.
Auteurs : Munetsugu Hara [Japon] ; Tatsuki Mizuochi ; Gou Kawano ; Takayoshi Koike ; Ikuhiko Shibuya ; Takashi Ohya ; Keizo Ohbu ; Kojiro Nagai ; Shinichiro Nagamitsu ; Yushiro Yamashita ; Tetsuo Nakayama ; Toyojiro MatsuishiSource :
- Brain & development [ 1872-7131 ] ; 2011.
Descripteurs français
- KwdFr :
- Anticorps (sang), Corps calleux (anatomopathologie), Encéphalite (anatomopathologie), Encéphalite (immunologie), Encéphalite (sang), Encéphalite (étiologie), Enfant, Gadolinium, Humains, Imagerie par résonance magnétique, Imagerie par résonance magnétique de diffusion, Mâle, Protéines virales (immunologie), Vaccin antiourlien (effets indésirables).
- MESH :
- anatomopathologie : Corps calleux, Encéphalite.
- effets indésirables : Vaccin antiourlien.
- immunologie : Encéphalite, Protéines virales.
- sang : Anticorps, Encéphalite.
- étiologie : Encéphalite.
- Enfant, Gadolinium, Humains, Imagerie par résonance magnétique, Imagerie par résonance magnétique de diffusion, Mâle.
English descriptors
- KwdEn :
- Antibodies (blood), Child, Corpus Callosum (pathology), Diffusion Magnetic Resonance Imaging, Encephalitis (blood), Encephalitis (etiology), Encephalitis (immunology), Encephalitis (pathology), Gadolinium, Humans, Magnetic Resonance Imaging, Male, Mumps Vaccine (adverse effects), Viral Proteins (immunology).
- MESH :
- chemical , adverse effects : Mumps Vaccine.
- chemical , blood : Antibodies.
- blood : Encephalitis.
- etiology : Encephalitis.
- immunology : Encephalitis, Viral Proteins.
- pathology : Corpus Callosum, Encephalitis.
- Child, Diffusion Magnetic Resonance Imaging, Gadolinium, Humans, Magnetic Resonance Imaging, Male.
Abstract
We describe for the first time an 8-year-old male patient who demonstrated clinically mild encephalitis with a reversible splenial lesion after mumps vaccination. He suffered from transient hallucinations, nuchal rigidity, and inappropriate antidiuretic hormone secretion syndrome. On the 5th day of admission, his head MRI showed symmetrical high-signal-intensity lesions on T2, FLAIR, and diffusion-weighted images in the splenium of the corpus callosum and in the periventricular white matter, while an apparent diffusion coefficient map showed reduced diffusion. The images were not enhanced by gadolinium. Follow-up MRI on the 16th day of admission revealed none of these abnormalities. His serum IgM and IgG antibodies against the mumps virus were positive according to an enzyme immunoassay. Mumps Torii vaccine strain was isolated from the patient's cerebrospinal fluid. Previous reports demonstrated that transient delirious behavior, the syndrome of inappropriate antidiuretic hormone secretion, and good prognosis were the main clinical features of mild encephalitis with a reversible splenial lesion. This case shows that mild encephalitis with a reversible splenial lesion could occur after mumps vaccination.
DOI: 10.1016/j.braindev.2010.12.013
PubMed: 21273018
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pubmed:21273018Le document en format XML
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(blood)</term><term>Child</term><term>Corpus Callosum (pathology)</term><term>Diffusion Magnetic Resonance Imaging</term><term>Encephalitis (blood)</term><term>Encephalitis (etiology)</term><term>Encephalitis (immunology)</term><term>Encephalitis (pathology)</term><term>Gadolinium</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Mumps Vaccine (adverse effects)</term><term>Viral Proteins (immunology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anticorps (sang)</term><term>Corps calleux (anatomopathologie)</term><term>Encéphalite (anatomopathologie)</term><term>Encéphalite (immunologie)</term><term>Encéphalite (sang)</term><term>Encéphalite (étiologie)</term><term>Enfant</term><term>Gadolinium</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Imagerie par résonance magnétique de diffusion</term><term>Mâle</term><term>Protéines virales (immunologie)</term><term>Vaccin antiourlien (effets indésirables)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Mumps Vaccine</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Antibodies</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Corps calleux</term><term>Encéphalite</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Encephalitis</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Vaccin antiourlien</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Encephalitis</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Encéphalite</term><term>Protéines virales</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Encephalitis</term><term>Viral Proteins</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Corpus Callosum</term><term>Encephalitis</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Anticorps</term><term>Encéphalite</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Encéphalite</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Diffusion Magnetic Resonance Imaging</term><term>Gadolinium</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant</term><term>Gadolinium</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Imagerie par résonance magnétique de diffusion</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe for the first time an 8-year-old male patient who demonstrated clinically mild encephalitis with a reversible splenial lesion after mumps vaccination. He suffered from transient hallucinations, nuchal rigidity, and inappropriate antidiuretic hormone secretion syndrome. On the 5th day of admission, his head MRI showed symmetrical high-signal-intensity lesions on T2, FLAIR, and diffusion-weighted images in the splenium of the corpus callosum and in the periventricular white matter, while an apparent diffusion coefficient map showed reduced diffusion. The images were not enhanced by gadolinium. Follow-up MRI on the 16th day of admission revealed none of these abnormalities. His serum IgM and IgG antibodies against the mumps virus were positive according to an enzyme immunoassay. Mumps Torii vaccine strain was isolated from the patient's cerebrospinal fluid. Previous reports demonstrated that transient delirious behavior, the syndrome of inappropriate antidiuretic hormone secretion, and good prognosis were the main clinical features of mild encephalitis with a reversible splenial lesion. This case shows that mild encephalitis with a reversible splenial lesion could occur after mumps vaccination.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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