Mild encephalopathy/encephalitis with a reversible splenial lesion (MERS): A report of five neonatal cases.
Identifieur interne : 000C75 ( Main/Exploration ); précédent : 000C74; suivant : 000C76Mild encephalopathy/encephalitis with a reversible splenial lesion (MERS): A report of five neonatal cases.
Auteurs : Dan Sun [République populaire de Chine] ; Wen-Hong Chen [République populaire de Chine] ; Suraj Baralc [République populaire de Chine] ; Juan Wang [République populaire de Chine] ; Zhi-Sheng Liu [République populaire de Chine] ; Yuan-Peng Xia [République populaire de Chine] ; Lei Chen [République populaire de Chine]Source :
- Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban [ 1993-1352 ] ; 2017.
Descripteurs français
- KwdFr :
- Chlorure de sodium (usage thérapeutique), Corps calleux (), Corps calleux (anatomopathologie), Corps calleux (imagerie diagnostique), Crises épileptiques (imagerie diagnostique), Crises épileptiques (physiopathologie), Crises épileptiques (traitement médicamenteux), Céfopérazone (usage thérapeutique), Encéphalite (imagerie diagnostique), Encéphalite (physiopathologie), Encéphalite (traitement médicamenteux), Encéphalopathies (imagerie diagnostique), Encéphalopathies (physiopathologie), Encéphalopathies (traitement médicamenteux), Hospitalisation, Humains, Hyponatrémie (diagnostic), Hyponatrémie (physiopathologie), Hyponatrémie (traitement médicamenteux), Imagerie par résonance magnétique, Mâle, Nouveau-né, Phénobarbital (usage thérapeutique), Récupération fonctionnelle (physiologie), Électroencéphalographie, Équilibre hydroélectrolytique.
- MESH :
- anatomopathologie : Corps calleux.
- diagnostic : Hyponatrémie.
- imagerie diagnostique : Corps calleux, Crises épileptiques, Encéphalite, Encéphalopathies.
- physiologie : Récupération fonctionnelle.
- physiopathologie : Crises épileptiques, Encéphalite, Encéphalopathies, Hyponatrémie.
- traitement médicamenteux : Crises épileptiques, Encéphalite, Encéphalopathies, Hyponatrémie.
- usage thérapeutique : Chlorure de sodium, Céfopérazone, Phénobarbital.
- Corps calleux, Hospitalisation, Humains, Imagerie par résonance magnétique, Mâle, Nouveau-né, Électroencéphalographie, Équilibre hydroélectrolytique.
English descriptors
- KwdEn :
- Brain Diseases (diagnostic imaging), Brain Diseases (drug therapy), Brain Diseases (physiopathology), Cefoperazone (therapeutic use), Corpus Callosum (diagnostic imaging), Corpus Callosum (drug effects), Corpus Callosum (pathology), Electroencephalography, Encephalitis (diagnostic imaging), Encephalitis (drug therapy), Encephalitis (physiopathology), Hospitalization, Humans, Hyponatremia (diagnosis), Hyponatremia (drug therapy), Hyponatremia (physiopathology), Infant, Newborn, Magnetic Resonance Imaging, Male, Phenobarbital (therapeutic use), Recovery of Function (physiology), Seizures (diagnostic imaging), Seizures (drug therapy), Seizures (physiopathology), Sodium Chloride (therapeutic use), Water-Electrolyte Balance.
- MESH :
- chemical , therapeutic use : Cefoperazone, Phenobarbital, Sodium Chloride.
- diagnosis : Hyponatremia.
- diagnostic imaging : Brain Diseases, Corpus Callosum, Encephalitis, Seizures.
- drug effects : Corpus Callosum.
- drug therapy : Brain Diseases, Encephalitis, Hyponatremia, Seizures.
- pathology : Corpus Callosum.
- physiology : Recovery of Function.
- physiopathology : Brain Diseases, Encephalitis, Hyponatremia, Seizures.
- Electroencephalography, Hospitalization, Humans, Infant, Newborn, Magnetic Resonance Imaging, Male, Water-Electrolyte Balance.
Abstract
Mild encephalopathy/encephalitis with a reversible splenial (MERS) lesion is a clinic-radiological entity. The clinical features of MERS in neonates are still not systemically reported. This paper presents five cases of MERS, and the up-to-date reviews of previously reported cases were collected and analyzed in the literature. Here we describe five cases clinically diagnosed with MERS. All of them were neonates and the average age was about 4 days. They were admitted for the common neurological symptoms such as hyperspasmia, poor reactivity and delirium. Auxiliary examinations during hospitalization also exhibited features in common. In this report, we reached following conclusions. Firstly, magnetic resonance imaging revealed solitary or comprehensive lesions in the splenium of corpus callosum, some of them extending to almost the whole corpus callosum. The lesions showed low intensity signal on T1-weighted images, homogeneously hyperintense signal on T2-weighted images, fluid-attenuated inversion recovery and diffusion-weighted images, and exhibited an obvious reduced diffusion on apparent diffusion coefficient map. Moreover, the lesions in the magnetic resonance imaging disappeared very quickly even prior to the clinical recovery. Secondly, all the cases depicted here suffered electrolyte disturbances especially hyponatremia which could be easily corrected. Lastly, all of the cases recovered quickly over one week to one month and majority of them exhibited signs of infections and normal electroencephalography.
DOI: 10.1007/s11596-017-1753-5
PubMed: 28585150
Affiliations:
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Chine</country><wicri:regionArea>Department of Pediatric Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430016</wicri:regionArea><wicri:noRegion>430016</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Wen Hong" sort="Chen, Wen Hong" uniqKey="Chen W" first="Wen-Hong" last="Chen">Wen-Hong Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Neurology, Hubei Maternal and Child Health Hospital, Wuhan, 430070, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric Neurology, Hubei Maternal and Child Health Hospital, Wuhan, 430070</wicri:regionArea><wicri:noRegion>430070</wicri:noRegion></affiliation></author><author><name sortKey="Baralc, Suraj" sort="Baralc, Suraj" uniqKey="Baralc S" first="Suraj" last="Baralc">Suraj Baralc</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, 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430016</wicri:regionArea><wicri:noRegion>430016</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban</title><idno type="eISSN">1993-1352</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain Diseases (diagnostic imaging)</term><term>Brain Diseases (drug therapy)</term><term>Brain Diseases (physiopathology)</term><term>Cefoperazone (therapeutic use)</term><term>Corpus Callosum (diagnostic imaging)</term><term>Corpus Callosum (drug effects)</term><term>Corpus Callosum (pathology)</term><term>Electroencephalography</term><term>Encephalitis (diagnostic imaging)</term><term>Encephalitis (drug therapy)</term><term>Encephalitis (physiopathology)</term><term>Hospitalization</term><term>Humans</term><term>Hyponatremia (diagnosis)</term><term>Hyponatremia (drug therapy)</term><term>Hyponatremia (physiopathology)</term><term>Infant, Newborn</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Phenobarbital (therapeutic use)</term><term>Recovery of Function (physiology)</term><term>Seizures (diagnostic imaging)</term><term>Seizures (drug therapy)</term><term>Seizures (physiopathology)</term><term>Sodium Chloride (therapeutic use)</term><term>Water-Electrolyte Balance</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chlorure de sodium (usage thérapeutique)</term><term>Corps calleux ()</term><term>Corps calleux (anatomopathologie)</term><term>Corps calleux (imagerie diagnostique)</term><term>Crises épileptiques (imagerie diagnostique)</term><term>Crises épileptiques (physiopathologie)</term><term>Crises épileptiques (traitement médicamenteux)</term><term>Céfopérazone (usage thérapeutique)</term><term>Encéphalite (imagerie diagnostique)</term><term>Encéphalite (physiopathologie)</term><term>Encéphalite (traitement médicamenteux)</term><term>Encéphalopathies (imagerie diagnostique)</term><term>Encéphalopathies (physiopathologie)</term><term>Encéphalopathies (traitement médicamenteux)</term><term>Hospitalisation</term><term>Humains</term><term>Hyponatrémie (diagnostic)</term><term>Hyponatrémie (physiopathologie)</term><term>Hyponatrémie (traitement médicamenteux)</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Nouveau-né</term><term>Phénobarbital (usage thérapeutique)</term><term>Récupération fonctionnelle (physiologie)</term><term>Électroencéphalographie</term><term>Équilibre hydroélectrolytique</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Cefoperazone</term><term>Phenobarbital</term><term>Sodium Chloride</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Corps calleux</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hyponatremia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hyponatrémie</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Brain Diseases</term><term>Corpus Callosum</term><term>Encephalitis</term><term>Seizures</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Corpus Callosum</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Brain Diseases</term><term>Encephalitis</term><term>Hyponatremia</term><term>Seizures</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Corps calleux</term><term>Crises épileptiques</term><term>Encéphalite</term><term>Encéphalopathies</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Corpus Callosum</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Récupération fonctionnelle</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Recovery of Function</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Crises épileptiques</term><term>Encéphalite</term><term>Encéphalopathies</term><term>Hyponatrémie</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain Diseases</term><term>Encephalitis</term><term>Hyponatremia</term><term>Seizures</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Crises épileptiques</term><term>Encéphalite</term><term>Encéphalopathies</term><term>Hyponatrémie</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Chlorure de sodium</term><term>Céfopérazone</term><term>Phénobarbital</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electroencephalography</term><term>Hospitalization</term><term>Humans</term><term>Infant, Newborn</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Water-Electrolyte Balance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Corps calleux</term><term>Hospitalisation</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Nouveau-né</term><term>Électroencéphalographie</term><term>Équilibre hydroélectrolytique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Mild encephalopathy/encephalitis with a reversible splenial (MERS) lesion is a clinic-radiological entity. The clinical features of MERS in neonates are still not systemically reported. This paper presents five cases of MERS, and the up-to-date reviews of previously reported cases were collected and analyzed in the literature. Here we describe five cases clinically diagnosed with MERS. All of them were neonates and the average age was about 4 days. They were admitted for the common neurological symptoms such as hyperspasmia, poor reactivity and delirium. Auxiliary examinations during hospitalization also exhibited features in common. In this report, we reached following conclusions. Firstly, magnetic resonance imaging revealed solitary or comprehensive lesions in the splenium of corpus callosum, some of them extending to almost the whole corpus callosum. The lesions showed low intensity signal on T1-weighted images, homogeneously hyperintense signal on T2-weighted images, fluid-attenuated inversion recovery and diffusion-weighted images, and exhibited an obvious reduced diffusion on apparent diffusion coefficient map. Moreover, the lesions in the magnetic resonance imaging disappeared very quickly even prior to the clinical recovery. Secondly, all the cases depicted here suffered electrolyte disturbances especially hyponatremia which could be easily corrected. Lastly, all of the cases recovered quickly over one week to one month and majority of them exhibited signs of infections and normal electroencephalography.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Sun, Dan" sort="Sun, Dan" uniqKey="Sun D" first="Dan" last="Sun">Dan Sun</name></noRegion><name sortKey="Baralc, Suraj" sort="Baralc, Suraj" uniqKey="Baralc S" first="Suraj" last="Baralc">Suraj Baralc</name><name sortKey="Chen, Lei" sort="Chen, Lei" uniqKey="Chen L" first="Lei" last="Chen">Lei Chen</name><name sortKey="Chen, Wen Hong" sort="Chen, Wen Hong" uniqKey="Chen W" first="Wen-Hong" last="Chen">Wen-Hong Chen</name><name sortKey="Liu, Zhi Sheng" sort="Liu, Zhi Sheng" uniqKey="Liu Z" first="Zhi-Sheng" last="Liu">Zhi-Sheng Liu</name><name sortKey="Wang, Juan" sort="Wang, Juan" uniqKey="Wang J" first="Juan" last="Wang">Juan Wang</name><name sortKey="Xia, Yuan Peng" sort="Xia, Yuan Peng" uniqKey="Xia Y" first="Yuan-Peng" last="Xia">Yuan-Peng Xia</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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