Reversible splenic lesion in a patient with Febrile Infection-Related Epilepsy Syndrome (FIRES).
Identifieur interne : 001F32 ( Main/Merge ); précédent : 001F31; suivant : 001F33Reversible splenic lesion in a patient with Febrile Infection-Related Epilepsy Syndrome (FIRES).
Auteurs : Fumihito Nozaki [Japon] ; Tomohiro Kumada ; Tomoko Miyajima ; Takashi Kusunoki ; Ikuko Hiejima ; Anri Hayashi ; Tatsuya FujiiSource :
- Neuropediatrics [ 1439-1899 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Corps calleux, Encéphalite, Fièvre, Épilepsie.
- Diagnostic différentiel, Enfant, Humains, Imagerie par résonance magnétique, Mâle, Résultat thérapeutique, Syndrome.
English descriptors
- KwdEn :
- MESH :
- pathology : Corpus Callosum, Encephalitis, Epilepsy, Fever.
- Child, Diagnosis, Differential, Humans, Magnetic Resonance Imaging, Male, Syndrome, Treatment Outcome.
Abstract
Febrile infection-related epilepsy syndrome (FIRES) is a severe epileptic syndrome that manifests with refractory seizures or status epilepticus in previously healthy children after banal febrile illness. The neuroimaging findings in the acute phase of FIRES are nonspecific or normal. We report the case of a 7-year-old boy with FIRES who presented with a reversible lesion in the splenium of the corpus callosum on brain magnetic resonance imaging (MRI). The patient developed clusters of clonic seizures with a deviation of the eyes after a 3-day history of fever. A reversible splenial lesion was observed on brain MRI and, therefore, the initial diagnosis was mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). However, the intractable complex partial seizures necessitated a long-term midazolam infusion, indicating that FIRES was a more likely diagnosis than MERS. All other findings of this patient met the diagnostic criteria for FIRES. With this diagnosis, a high-dose phenobarbital was administrated, and the seizures were successfully controlled. This case indicated that FIRES should be considered even in patients with a reversible splenial lesion associated with encephalitis/encephalopathy.
DOI: 10.1055/s-0033-1348030
PubMed: 23794447
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001C73
- to stream PubMed, to step Curation: 001C73
- to stream PubMed, to step Checkpoint: 001A72
- to stream Ncbi, to step Merge: 000A67
- to stream Ncbi, to step Curation: 000A67
- to stream Ncbi, to step Checkpoint: 000A67
Links to Exploration step
pubmed:23794447Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reversible splenic lesion in a patient with Febrile Infection-Related Epilepsy Syndrome (FIRES).</title><author><name sortKey="Nozaki, Fumihito" sort="Nozaki, Fumihito" uniqKey="Nozaki F" first="Fumihito" last="Nozaki">Fumihito Nozaki</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Shiga Medical Center for Children, Moriyama, Shiga, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Shiga Medical Center for Children, Moriyama, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Kumada, Tomohiro" sort="Kumada, Tomohiro" uniqKey="Kumada T" first="Tomohiro" last="Kumada">Tomohiro Kumada</name></author><author><name sortKey="Miyajima, Tomoko" sort="Miyajima, Tomoko" uniqKey="Miyajima T" first="Tomoko" last="Miyajima">Tomoko Miyajima</name></author><author><name sortKey="Kusunoki, Takashi" sort="Kusunoki, Takashi" uniqKey="Kusunoki T" first="Takashi" last="Kusunoki">Takashi Kusunoki</name></author><author><name sortKey="Hiejima, Ikuko" sort="Hiejima, Ikuko" uniqKey="Hiejima I" first="Ikuko" last="Hiejima">Ikuko Hiejima</name></author><author><name sortKey="Hayashi, Anri" sort="Hayashi, Anri" uniqKey="Hayashi A" first="Anri" last="Hayashi">Anri Hayashi</name></author><author><name sortKey="Fujii, Tatsuya" sort="Fujii, Tatsuya" uniqKey="Fujii T" first="Tatsuya" last="Fujii">Tatsuya Fujii</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23794447</idno><idno type="pmid">23794447</idno><idno type="doi">10.1055/s-0033-1348030</idno><idno type="wicri:Area/PubMed/Corpus">001C73</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C73</idno><idno type="wicri:Area/PubMed/Curation">001C73</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001C73</idno><idno type="wicri:Area/PubMed/Checkpoint">001A72</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001A72</idno><idno type="wicri:Area/Ncbi/Merge">000A67</idno><idno type="wicri:Area/Ncbi/Curation">000A67</idno><idno type="wicri:Area/Ncbi/Checkpoint">000A67</idno><idno type="wicri:Area/Main/Merge">001F32</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Reversible splenic lesion in a patient with Febrile Infection-Related Epilepsy Syndrome (FIRES).</title><author><name sortKey="Nozaki, Fumihito" sort="Nozaki, Fumihito" uniqKey="Nozaki F" first="Fumihito" last="Nozaki">Fumihito Nozaki</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Shiga Medical Center for Children, Moriyama, Shiga, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Shiga Medical Center for Children, Moriyama, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Kumada, Tomohiro" sort="Kumada, Tomohiro" uniqKey="Kumada T" first="Tomohiro" last="Kumada">Tomohiro Kumada</name></author><author><name sortKey="Miyajima, Tomoko" sort="Miyajima, Tomoko" uniqKey="Miyajima T" first="Tomoko" last="Miyajima">Tomoko Miyajima</name></author><author><name sortKey="Kusunoki, Takashi" sort="Kusunoki, Takashi" uniqKey="Kusunoki T" first="Takashi" last="Kusunoki">Takashi Kusunoki</name></author><author><name sortKey="Hiejima, Ikuko" sort="Hiejima, Ikuko" uniqKey="Hiejima I" first="Ikuko" last="Hiejima">Ikuko Hiejima</name></author><author><name sortKey="Hayashi, Anri" sort="Hayashi, Anri" uniqKey="Hayashi A" first="Anri" last="Hayashi">Anri Hayashi</name></author><author><name sortKey="Fujii, Tatsuya" sort="Fujii, Tatsuya" uniqKey="Fujii T" first="Tatsuya" last="Fujii">Tatsuya Fujii</name></author></analytic><series><title level="j">Neuropediatrics</title><idno type="eISSN">1439-1899</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term><term>Corpus Callosum (pathology)</term><term>Diagnosis, Differential</term><term>Encephalitis (pathology)</term><term>Epilepsy (pathology)</term><term>Fever (pathology)</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Syndrome</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Corps calleux (anatomopathologie)</term><term>Diagnostic différentiel</term><term>Encéphalite (anatomopathologie)</term><term>Enfant</term><term>Fièvre (anatomopathologie)</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Syndrome</term><term>Épilepsie (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Corps calleux</term><term>Encéphalite</term><term>Fièvre</term><term>Épilepsie</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Corpus Callosum</term><term>Encephalitis</term><term>Epilepsy</term><term>Fever</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Diagnosis, Differential</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Syndrome</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Diagnostic différentiel</term><term>Enfant</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Syndrome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Febrile infection-related epilepsy syndrome (FIRES) is a severe epileptic syndrome that manifests with refractory seizures or status epilepticus in previously healthy children after banal febrile illness. The neuroimaging findings in the acute phase of FIRES are nonspecific or normal. We report the case of a 7-year-old boy with FIRES who presented with a reversible lesion in the splenium of the corpus callosum on brain magnetic resonance imaging (MRI). The patient developed clusters of clonic seizures with a deviation of the eyes after a 3-day history of fever. A reversible splenial lesion was observed on brain MRI and, therefore, the initial diagnosis was mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). However, the intractable complex partial seizures necessitated a long-term midazolam infusion, indicating that FIRES was a more likely diagnosis than MERS. All other findings of this patient met the diagnostic criteria for FIRES. With this diagnosis, a high-dose phenobarbital was administrated, and the seizures were successfully controlled. This case indicated that FIRES should be considered even in patients with a reversible splenial lesion associated with encephalitis/encephalopathy. </div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/MersV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F32 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 001F32 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= MersV1
|flux= Main
|étape= Merge
|type= RBID
|clé= pubmed:23794447
|texte= Reversible splenic lesion in a patient with Febrile Infection-Related Epilepsy Syndrome (FIRES).
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:23794447" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \
| NlmPubMed2Wicri -a MersV1
| This area was generated with Dilib version V0.6.33. |  |