Marked elevation of urinary β2-microglobulin in patients with reversible splenial lesions: A small case series.
Identifieur interne : 001153 ( Main/Exploration ); précédent : 001152; suivant : 001154Marked elevation of urinary β2-microglobulin in patients with reversible splenial lesions: A small case series.
Auteurs : Junji Azuma [Japon] ; Shin Nabatame [Japon] ; Toshiya Katsura [Japon] ; Kyoko Yamamoto [Japon] ; Hiroshi Kaneno [Japon] ; Eri Kijima [Japon] ; Yoshimi Mizoguchi [Japon] ; Tunesuke Shimotsuji [Japon] ; Takehisa Yamamoto [Japon] ; Keiichi Ozono [Japon]Source :
- Journal of the neurological sciences [ 1878-5883 ] ; 2016.
Descripteurs français
- KwdFr :
- Corps calleux (imagerie diagnostique), Encéphalopathies (imagerie diagnostique), Encéphalopathies (traitement médicamenteux), Encéphalopathies (urine), Enfant, Enfant d'âge préscolaire, Femelle, Humains, Imagerie par résonance magnétique de diffusion, Marqueurs biologiques (urine), Mâle, bêta-2-Microglobuline (urine).
- MESH :
- imagerie diagnostique : Corps calleux, Encéphalopathies.
- traitement médicamenteux : Encéphalopathies.
- urine : Encéphalopathies, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Imagerie par résonance magnétique de diffusion, Marqueurs biologiques, Mâle, bêta-2-Microglobuline.
English descriptors
- KwdEn :
- MESH :
- chemical , urine : Biomarkers, beta 2-Microglobulin.
- diagnostic imaging : Brain Diseases, Corpus Callosum.
- drug therapy : Brain Diseases.
- urine : Brain Diseases.
- Child, Child, Preschool, Diffusion Magnetic Resonance Imaging, Female, Humans, Male.
Abstract
The magnetic resonance imaging findings of reversible isolated lesions with transiently reduced diffusion in the splenium of corpus callosum of patients with a wide spectrum of pathological conditions are referred to as reversible splenial lesion syndrome (RESLES). Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is probably included within the spectrum of RESLES; however, its exact pathophysiology is not known. Here, we describe three patients with MERS and one patient with RESLES, all of whom showed elevated urinary β2-microglobulin regardless of diagnosis and presence of pathogens. Elevated urinary β2-microglobulin suggested that an excessive immune response might play a role in the pathophysiology of reversible splenial lesions.
DOI: 10.1016/j.jns.2016.06.066
PubMed: 27538611
Affiliations:
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Le document en format XML
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<term>Child</term>
<term>Child, Preschool</term>
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<front><div type="abstract" xml:lang="en">The magnetic resonance imaging findings of reversible isolated lesions with transiently reduced diffusion in the splenium of corpus callosum of patients with a wide spectrum of pathological conditions are referred to as reversible splenial lesion syndrome (RESLES). Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is probably included within the spectrum of RESLES; however, its exact pathophysiology is not known. Here, we describe three patients with MERS and one patient with RESLES, all of whom showed elevated urinary β2-microglobulin regardless of diagnosis and presence of pathogens. Elevated urinary β2-microglobulin suggested that an excessive immune response might play a role in the pathophysiology of reversible splenial lesions. </div>
</front>
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