Transient renal dysfunction with reversible splenial lesion
Identifieur interne : 001D78 ( Main/Exploration ); précédent : 001D77; suivant : 001D79Transient renal dysfunction with reversible splenial lesion
Auteurs : Toru Watanabe [Japon] ; Tomoka Matsuda [Japon] ; Ryoichi Kitagata [Japon] ; Iwao Tajima [Japon] ; Hiroyuki Ono [Japon] ; Keiko Hirano [Japon] ; Masami Shirai [Japon] ; Akira Endoh [Japon] ; Teruaki Hongo [Japon]Source :
- Pediatrics International [ 1328-8067 ] ; 2014-10.
Abstract
We report the case of a 6‐month‐old boy with transient renal dysfunction who had an intensified signal in the splenium of the corpus callosum on magnetic resonance imaging. He presented to hospital with fever and sudden disturbance of consciousness. Cerebrospinal fluid analysis did not show pleocytosis. The mild consciousness disturbance disappeared after 30 min, but the splenial signal persisted even after 8 days. Further, renal glucosuria, increased excretion of select amino acids, and abnormal fractional excretion of electrolytes were observed, indicating renal tubular dysfunction. The abnormal urinary findings spontaneously resolved by day 9 of hospitalization. The splenial lesion took 21 days to normalize. There were no signs of neurological complications 2 months later. This case suggests the possibility of renal involvement in splenial lesions.
Url:
DOI: 10.1111/ped.12412
Affiliations:
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Hirano</name></author><author><name sortKey="Shirai, Masami" sort="Shirai, Masami" uniqKey="Shirai M" first="Masami" last="Shirai">Masami Shirai</name></author><author><name sortKey="Endoh, Akira" sort="Endoh, Akira" uniqKey="Endoh A" first="Akira" last="Endoh">Akira Endoh</name></author><author><name sortKey="Hongo, Teruaki" sort="Hongo, Teruaki" uniqKey="Hongo T" first="Teruaki" last="Hongo">Teruaki Hongo</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1B05E2E5E9F2B40D4FDBB90B5FAEB8897A088139</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/ped.12412</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-ZW4SH3LG-N/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000136</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000136</idno><idno type="wicri:Area/Istex/Curation">000136</idno><idno type="wicri:Area/Istex/Checkpoint">000161</idno><idno 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wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Kitagata, Ryoichi" sort="Kitagata, Ryoichi" uniqKey="Kitagata R" first="Ryoichi" last="Kitagata">Ryoichi Kitagata</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Tajima, Iwao" sort="Tajima, Iwao" uniqKey="Tajima I" first="Iwao" last="Tajima">Iwao Tajima</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Ono, Hiroyuki" sort="Ono, Hiroyuki" uniqKey="Ono H" first="Hiroyuki" last="Ono">Hiroyuki Ono</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Hirano, Keiko" sort="Hirano, Keiko" uniqKey="Hirano K" first="Keiko" last="Hirano">Keiko Hirano</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Shirai, Masami" sort="Shirai, Masami" uniqKey="Shirai M" first="Masami" last="Shirai">Masami Shirai</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Endoh, Akira" sort="Endoh, Akira" uniqKey="Endoh A" first="Akira" last="Endoh">Akira Endoh</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author><author><name sortKey="Hongo, Teruaki" sort="Hongo, Teruaki" uniqKey="Hongo T" first="Teruaki" last="Hongo">Teruaki Hongo</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Iwata City Hospital, Iwata</wicri:regionArea><wicri:noRegion>Iwata</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Pediatrics International</title><title level="j" type="alt">PEDIATRICS INTERNATIONAL</title><idno type="ISSN">1328-8067</idno><idno type="eISSN">1442-200X</idno><imprint><biblScope unit="vol">56</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="e68">e68</biblScope><biblScope unit="page" to="e71">e71</biblScope><biblScope unit="page-count">4</biblScope><date type="published" when="2014-10">2014-10</date></imprint><idno type="ISSN">1328-8067</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1328-8067</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">We report the case of a 6‐month‐old boy with transient renal dysfunction who had an intensified signal in the splenium of the corpus callosum on magnetic resonance imaging. He presented to hospital with fever and sudden disturbance of consciousness. Cerebrospinal fluid analysis did not show pleocytosis. The mild consciousness disturbance disappeared after 30 min, but the splenial signal persisted even after 8 days. Further, renal glucosuria, increased excretion of select amino acids, and abnormal fractional excretion of electrolytes were observed, indicating renal tubular dysfunction. The abnormal urinary findings spontaneously resolved by day 9 of hospitalization. The splenial lesion took 21 days to normalize. There were no signs of neurological complications 2 months later. This case suggests the possibility of renal involvement in splenial lesions.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Watanabe, Toru" sort="Watanabe, Toru" uniqKey="Watanabe T" first="Toru" last="Watanabe">Toru Watanabe</name></noRegion><name sortKey="Endoh, Akira" sort="Endoh, Akira" uniqKey="Endoh A" first="Akira" last="Endoh">Akira Endoh</name><name sortKey="Hirano, Keiko" sort="Hirano, Keiko" uniqKey="Hirano K" first="Keiko" last="Hirano">Keiko Hirano</name><name sortKey="Hongo, Teruaki" sort="Hongo, Teruaki" uniqKey="Hongo T" first="Teruaki" last="Hongo">Teruaki Hongo</name><name sortKey="Kitagata, Ryoichi" sort="Kitagata, Ryoichi" uniqKey="Kitagata R" first="Ryoichi" last="Kitagata">Ryoichi Kitagata</name><name sortKey="Matsuda, Tomoka" sort="Matsuda, Tomoka" uniqKey="Matsuda T" first="Tomoka" last="Matsuda">Tomoka Matsuda</name><name sortKey="Ono, Hiroyuki" sort="Ono, Hiroyuki" uniqKey="Ono H" first="Hiroyuki" last="Ono">Hiroyuki Ono</name><name sortKey="Shirai, Masami" sort="Shirai, Masami" uniqKey="Shirai M" first="Masami" last="Shirai">Masami Shirai</name><name sortKey="Tajima, Iwao" sort="Tajima, Iwao" uniqKey="Tajima I" first="Iwao" last="Tajima">Iwao Tajima</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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