Evaluation of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) by diffusion-weighted and diffusion tensor imaging
Identifieur interne : 001D74 ( Main/Exploration ); précédent : 001D73; suivant : 001D75Evaluation of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) by diffusion-weighted and diffusion tensor imaging
Auteurs : Balasubramanyam Shankar [Inde] ; Ramakrishna Narayanan [Inde] ; Pushkaran Muralitharan [Inde] ; Balamurugan Ulaganathan [Inde]Source :
- BMJ Case Reports [ 1757-790X ] ; 2014-06-04.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Corps calleux.
- diagnostic : Encéphalite, Encéphalopathies.
- Adulte, Diagnostic différentiel, Encéphalite, Encéphalopathies, Femelle, Humains, Imagerie par résonance magnétique, Imagerie par tenseur de diffusion, Électroencéphalographie.
English descriptors
- KwdEn :
- MESH :
- complications : Brain Diseases, Encephalitis.
- diagnosis : Brain Diseases, Encephalitis.
- methods : Diffusion Tensor Imaging.
- pathology : Corpus Callosum.
- Teeft :
- Adult, Aetiology, Anisotropy, Anterior commissure, Apparent diffusion, Bilateral centrum semiovale, Callosum, Centrum, Centrum semiovale, Clinicoradiological entity, Complete resolution, Corona radiata, Corpus callosum, Diagnosis, Differential, Diffusion maps, Diffusion restriction, Diffusion tensor imaging, Electroencephalography, Female, Fractional, Fractional anisotropy, Further permission, Gure, Humans, Hyperintensities, Imaging, Internal capsule, Lesion, Magnetic Resonance Imaging, Mers, Posterior limbs, Reversible splenial lesion, Roi, Semiovale, Shankar, Splenial, Splenium, Subtle hyperintensities, T1wi, Tensor, Uncommon entity, Unusual association, White matter.
Abstract
Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a clinicoradiological entity with varied aetiologies and having a typical course of evolution. We present a case of MERS evaluated with diffusion-weighted and diffusion tensor imaging along with various conventional sequences of MRI. At the time of presentation, the lesions in the splenium of corpus callosum and bilateral cerebral white matter showed diffusion restriction with reduced apparent diffusion coefficient and no reduction in fractional anisotropy (FA) values on diffusion tensor imaging; on follow-up diffusion restriction completely resolved with normalisation of the apparent diffusion coefficient. The normal to slightly increased FA values in the lesions may indicate that MERS is a non-degenerative disorder.
Url:
DOI: 10.1136/bcr-2014-204078
Affiliations:
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<term>Diagnosis, Differential</term>
<term>Diffusion Tensor Imaging (methods)</term>
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<term>Encephalitis (diagnosis)</term>
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<term>Corps calleux (anatomopathologie)</term>
<term>Diagnostic différentiel</term>
<term>Encéphalite ()</term>
<term>Encéphalite (diagnostic)</term>
<term>Encéphalopathies ()</term>
<term>Encéphalopathies (diagnostic)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Imagerie par tenseur de diffusion ()</term>
<term>Électroencéphalographie</term>
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<term>Encephalitis</term>
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<term>Encéphalopathies</term>
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<term>Aetiology</term>
<term>Anisotropy</term>
<term>Anterior commissure</term>
<term>Apparent diffusion</term>
<term>Bilateral centrum semiovale</term>
<term>Callosum</term>
<term>Centrum</term>
<term>Centrum semiovale</term>
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<term>Complete resolution</term>
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<term>Corpus callosum</term>
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<term>Diffusion restriction</term>
<term>Diffusion tensor imaging</term>
<term>Electroencephalography</term>
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<term>Fractional</term>
<term>Fractional anisotropy</term>
<term>Further permission</term>
<term>Gure</term>
<term>Humans</term>
<term>Hyperintensities</term>
<term>Imaging</term>
<term>Internal capsule</term>
<term>Lesion</term>
<term>Magnetic Resonance Imaging</term>
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<term>Reversible splenial lesion</term>
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<term>Semiovale</term>
<term>Shankar</term>
<term>Splenial</term>
<term>Splenium</term>
<term>Subtle hyperintensities</term>
<term>T1wi</term>
<term>Tensor</term>
<term>Uncommon entity</term>
<term>Unusual association</term>
<term>White matter</term>
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<term>Diagnostic différentiel</term>
<term>Encéphalite</term>
<term>Encéphalopathies</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Imagerie par tenseur de diffusion</term>
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<front><div type="abstract">Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a clinicoradiological entity with varied aetiologies and having a typical course of evolution. We present a case of MERS evaluated with diffusion-weighted and diffusion tensor imaging along with various conventional sequences of MRI. At the time of presentation, the lesions in the splenium of corpus callosum and bilateral cerebral white matter showed diffusion restriction with reduced apparent diffusion coefficient and no reduction in fractional anisotropy (FA) values on diffusion tensor imaging; on follow-up diffusion restriction completely resolved with normalisation of the apparent diffusion coefficient. The normal to slightly increased FA values in the lesions may indicate that MERS is a non-degenerative disorder.</div>
</front>
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