Transient hemiparesis and hemianesthesia in an atypical case of adult-onset clinically mild encephalitis/ encephalopathy with a reversible splenial lesion associated with adenovirus infection.
Identifieur interne : 000D95 ( Ncbi/Merge ); précédent : 000D94; suivant : 000D96Transient hemiparesis and hemianesthesia in an atypical case of adult-onset clinically mild encephalitis/ encephalopathy with a reversible splenial lesion associated with adenovirus infection.
Auteurs : Makoto Hibino [Japon] ; Shigeto Horiuchi ; Yoichi Okubo ; Takuya Kakutani ; Motoki Ohe ; Tetsuri KondoSource :
- Internal medicine (Tokyo, Japan) [ 1349-7235 ] ; 2014.
Descripteurs français
- KwdFr :
- Adenoviridae (immunologie), Anticorps antiviraux (sang), Corps calleux (anatomopathologie), Encéphalite (diagnostic), Encéphalite (étiologie), Encéphalopathies (diagnostic), Encéphalopathies (étiologie), Femelle, Humains, Imagerie par résonance magnétique, Infections humaines à adénovirus (), Jeune adulte, Parésie (étiologie).
- MESH :
- anatomopathologie : Corps calleux.
- diagnostic : Encéphalite, Encéphalopathies.
- immunologie : Adenoviridae.
- sang : Anticorps antiviraux.
- étiologie : Encéphalite, Encéphalopathies, Parésie.
- Femelle, Humains, Imagerie par résonance magnétique, Infections humaines à adénovirus, Jeune adulte.
English descriptors
- KwdEn :
- Adenoviridae (immunology), Adenovirus Infections, Human (complications), Antibodies, Viral (blood), Brain Diseases (diagnosis), Brain Diseases (etiology), Corpus Callosum (pathology), Encephalitis (diagnosis), Encephalitis (etiology), Female, Humans, Magnetic Resonance Imaging, Paresis (etiology), Young Adult.
- MESH :
- chemical , blood : Antibodies, Viral.
- complications : Adenovirus Infections, Human.
- diagnosis : Brain Diseases, Encephalitis.
- etiology : Brain Diseases, Encephalitis, Paresis.
- immunology : Adenoviridae.
- pathology : Corpus Callosum.
- Female, Humans, Magnetic Resonance Imaging, Young Adult.
Abstract
We herein report the case of a previously healthy 24-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) presenting with hemiparesis and hemianesthesia secondary to adenovirus infection. The patient's neurological symptoms and the lesion in the splenium resolved within 17 days without therapy. The radiographic features and clinical course observed in this case were consistent with a diagnosis of MERS; however, the only neurological symptoms were hemiparesis and hemianesthesia. This is the first reported case of MERS involving only hemiparesis and hemianesthesia at onset. This case suggests that a diagnosis of MERS should be suspected in patients with hemiparesis and hemianesthesia, especially when these conditions are preceded by infection.
DOI: 10.2169/internalmedicine.53.1966
PubMed: 24881745
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pubmed:24881745Le document en format XML
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<front><div type="abstract" xml:lang="en">We herein report the case of a previously healthy 24-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) presenting with hemiparesis and hemianesthesia secondary to adenovirus infection. The patient's neurological symptoms and the lesion in the splenium resolved within 17 days without therapy. The radiographic features and clinical course observed in this case were consistent with a diagnosis of MERS; however, the only neurological symptoms were hemiparesis and hemianesthesia. This is the first reported case of MERS involving only hemiparesis and hemianesthesia at onset. This case suggests that a diagnosis of MERS should be suspected in patients with hemiparesis and hemianesthesia, especially when these conditions are preceded by infection. </div>
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<Abstract><AbstractText>We herein report the case of a previously healthy 24-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) presenting with hemiparesis and hemianesthesia secondary to adenovirus infection. The patient's neurological symptoms and the lesion in the splenium resolved within 17 days without therapy. The radiographic features and clinical course observed in this case were consistent with a diagnosis of MERS; however, the only neurological symptoms were hemiparesis and hemianesthesia. This is the first reported case of MERS involving only hemiparesis and hemianesthesia at onset. This case suggests that a diagnosis of MERS should be suspected in patients with hemiparesis and hemianesthesia, especially when these conditions are preceded by infection. </AbstractText>
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