Clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination.
Identifieur interne : 001005 ( Ncbi/Merge ); précédent : 001004; suivant : 001006Clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination.
Auteurs : Jun-Ichi Takanashi [Japon] ; Takashi Shiihara [Japon] ; Takeshi Hasegawa [Japon] ; Masaru Takayanagi [Japon] ; Munetsugu Hara [Japon] ; Akihisa Okumura [Japon] ; Masashi Mizuguchi [Japon]Source :
- Journal of the neurological sciences [ 1878-5883 ] ; 2015.
Descripteurs français
- KwdFr :
- Corps calleux (anatomopathologie), Encéphalite (anatomopathologie), Encéphalite (immunologie), Encéphalite (physiopathologie), Encéphalite (étiologie), Enfant, Enfant d'âge préscolaire, Femelle, Humains, Hyponatrémie (sang), Hyponatrémie (étiologie), Imagerie par résonance magnétique, Mâle, Nourrisson, Protéines virales (immunologie), Vaccin antiourlien (effets indésirables), Électroencéphalographie.
- MESH :
- anatomopathologie : Corps calleux, Encéphalite.
- effets indésirables : Vaccin antiourlien.
- immunologie : Encéphalite, Protéines virales.
- physiopathologie : Encéphalite.
- sang : Hyponatrémie.
- étiologie : Encéphalite, Hyponatrémie.
- Enfant, Enfant d'âge préscolaire, Femelle, Humains, Imagerie par résonance magnétique, Mâle, Nourrisson, Électroencéphalographie.
English descriptors
- KwdEn :
- Child, Child, Preschool, Corpus Callosum (pathology), Electroencephalography, Encephalitis (etiology), Encephalitis (immunology), Encephalitis (pathology), Encephalitis (physiopathology), Female, Humans, Hyponatremia (blood), Hyponatremia (etiology), Infant, Magnetic Resonance Imaging, Male, Mumps Vaccine (adverse effects), Viral Proteins (immunology).
- MESH :
- chemical , adverse effects : Mumps Vaccine.
- blood : Hyponatremia.
- etiology : Encephalitis, Hyponatremia.
- immunology : Encephalitis, Viral Proteins.
- pathology : Corpus Callosum, Encephalitis.
- physiopathology : Encephalitis.
- Child, Child, Preschool, Electroencephalography, Female, Humans, Infant, Magnetic Resonance Imaging, Male.
Abstract
We retrospectively collected three patients with clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination, and reviewed five patients, including two patients previously reported. The five patients (all males, aged 1 to 9) presented with fever, vomiting, or headache as the initial symptoms (day 0), suggesting meningitis, at 13 to 21 days after mumps vaccination. Consciousness disturbance, delirious behavior, seizures, or dysarthria was observed on days 1 to 3, which had completely resolved before day 11. Hyponatremia was observed in all patients. A cerebrospinal fluid study showed pleocytosis, and confirmed the vaccine strain genome. MRI revealed reduced diffusion in the splenium of the corpus callosum on days 2 to 4, which had completely disappeared on the follow-up studies performed on days 7-15. EEG showed high voltage slow wave in three patients, which later normalized. These findings led to a diagnosis of MERS after mumps vaccination. MERS after mumps vaccination may be more common than previously considered. MERS is suspected when a male patient after mumps vaccination presents with neurological symptoms with hyponatremia, following symptoms of aseptic meningitis, and MRI would be performed to examine the splenium of the corpus callosum.
DOI: 10.1016/j.jns.2014.12.019
PubMed: 25542078
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Electronic address: jtaka44@hotmail.co.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Tokyo Women's Medical University, Yachiyo Medical Center, Yachiyo</wicri:regionArea><wicri:noRegion>Yachiyo</wicri:noRegion></affiliation></author><author><name sortKey="Shiihara, Takashi" sort="Shiihara, Takashi" uniqKey="Shiihara T" first="Takashi" last="Shiihara">Takashi Shiihara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Gunma Children's Medical Center, Shibukawa, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Neurology, Gunma Children's Medical Center, Shibukawa</wicri:regionArea><wicri:noRegion>Shibukawa</wicri:noRegion></affiliation></author><author><name sortKey="Hasegawa, Takeshi" sort="Hasegawa, Takeshi" uniqKey="Hasegawa T" first="Takeshi" last="Hasegawa">Takeshi Hasegawa</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Soka Municipal Hospital, Soka, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Soka Municipal Hospital, Soka</wicri:regionArea><wicri:noRegion>Soka</wicri:noRegion></affiliation></author><author><name sortKey="Takayanagi, Masaru" sort="Takayanagi, Masaru" uniqKey="Takayanagi M" first="Masaru" last="Takayanagi">Masaru Takayanagi</name><affiliation wicri:level="1"><nlm:affiliation>Division of Pediatrics, Sendai City Hospital, Sendai, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Pediatrics, Sendai City Hospital, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Hara, Munetsugu" sort="Hara, Munetsugu" uniqKey="Hara M" first="Munetsugu" last="Hara">Munetsugu Hara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics & Child Health, Kurume University School of Medicine, Kurume, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics & Child Health, Kurume University School of Medicine, Kurume</wicri:regionArea><wicri:noRegion>Kurume</wicri:noRegion></affiliation></author><author><name sortKey="Okumura, Akihisa" sort="Okumura, Akihisa" uniqKey="Okumura A" first="Akihisa" last="Okumura">Akihisa Okumura</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Aichi Medical University, Nagakute, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pediatrics, Aichi Medical University, Nagakute</wicri:regionArea><wicri:noRegion>Nagakute</wicri:noRegion></affiliation></author><author><name sortKey="Mizuguchi, Masashi" sort="Mizuguchi, Masashi" uniqKey="Mizuguchi M" first="Masashi" last="Mizuguchi">Masashi Mizuguchi</name><affiliation wicri:level="4"><nlm:affiliation>Department of Developmental Medical Sciences, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Developmental Medical Sciences, Graduate School of Medicine, The University of Tokyo, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author></analytic><series><title level="j">Journal of the neurological sciences</title><idno type="eISSN">1878-5883</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Corpus Callosum (pathology)</term><term>Electroencephalography</term><term>Encephalitis (etiology)</term><term>Encephalitis (immunology)</term><term>Encephalitis (pathology)</term><term>Encephalitis (physiopathology)</term><term>Female</term><term>Humans</term><term>Hyponatremia (blood)</term><term>Hyponatremia (etiology)</term><term>Infant</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Mumps Vaccine (adverse effects)</term><term>Viral Proteins (immunology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Corps calleux (anatomopathologie)</term><term>Encéphalite (anatomopathologie)</term><term>Encéphalite (immunologie)</term><term>Encéphalite (physiopathologie)</term><term>Encéphalite (étiologie)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Hyponatrémie (sang)</term><term>Hyponatrémie (étiologie)</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Nourrisson</term><term>Protéines virales (immunologie)</term><term>Vaccin antiourlien (effets indésirables)</term><term>Électroencéphalographie</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Mumps Vaccine</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Corps calleux</term><term>Encéphalite</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Hyponatremia</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Vaccin antiourlien</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Encephalitis</term><term>Hyponatremia</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Encéphalite</term><term>Protéines virales</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Encephalitis</term><term>Viral Proteins</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Corpus Callosum</term><term>Encephalitis</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Encéphalite</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Encephalitis</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Hyponatrémie</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Encéphalite</term><term>Hyponatrémie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Electroencephalography</term><term>Female</term><term>Humans</term><term>Infant</term><term>Magnetic Resonance Imaging</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Mâle</term><term>Nourrisson</term><term>Électroencéphalographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We retrospectively collected three patients with clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination, and reviewed five patients, including two patients previously reported. The five patients (all males, aged 1 to 9) presented with fever, vomiting, or headache as the initial symptoms (day 0), suggesting meningitis, at 13 to 21 days after mumps vaccination. Consciousness disturbance, delirious behavior, seizures, or dysarthria was observed on days 1 to 3, which had completely resolved before day 11. Hyponatremia was observed in all patients. A cerebrospinal fluid study showed pleocytosis, and confirmed the vaccine strain genome. MRI revealed reduced diffusion in the splenium of the corpus callosum on days 2 to 4, which had completely disappeared on the follow-up studies performed on days 7-15. EEG showed high voltage slow wave in three patients, which later normalized. These findings led to a diagnosis of MERS after mumps vaccination. MERS after mumps vaccination may be more common than previously considered. MERS is suspected when a male patient after mumps vaccination presents with neurological symptoms with hyponatremia, following symptoms of aseptic meningitis, and MRI would be performed to examine the splenium of the corpus callosum.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25542078</PMID><DateCompleted><Year>2015</Year><Month>09</Month><Day>28</Day></DateCompleted><DateRevised><Year>2015</Year><Month>02</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-5883</ISSN><JournalIssue CitedMedium="Internet"><Volume>349</Volume><Issue>1-2</Issue><PubDate><Year>2015</Year><Month>Feb</Month><Day>15</Day></PubDate></JournalIssue><Title>Journal of the neurological sciences</Title><ISOAbbreviation>J. Neurol. Sci.</ISOAbbreviation></Journal><ArticleTitle>Clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination.</ArticleTitle><Pagination><MedlinePgn>226-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jns.2014.12.019</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0022-510X(14)00784-9</ELocationID><Abstract><AbstractText>We retrospectively collected three patients with clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination, and reviewed five patients, including two patients previously reported. The five patients (all males, aged 1 to 9) presented with fever, vomiting, or headache as the initial symptoms (day 0), suggesting meningitis, at 13 to 21 days after mumps vaccination. Consciousness disturbance, delirious behavior, seizures, or dysarthria was observed on days 1 to 3, which had completely resolved before day 11. Hyponatremia was observed in all patients. A cerebrospinal fluid study showed pleocytosis, and confirmed the vaccine strain genome. MRI revealed reduced diffusion in the splenium of the corpus callosum on days 2 to 4, which had completely disappeared on the follow-up studies performed on days 7-15. EEG showed high voltage slow wave in three patients, which later normalized. These findings led to a diagnosis of MERS after mumps vaccination. MERS after mumps vaccination may be more common than previously considered. MERS is suspected when a male patient after mumps vaccination presents with neurological symptoms with hyponatremia, following symptoms of aseptic meningitis, and MRI would be performed to examine the splenium of the corpus callosum.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Takanashi</LastName><ForeName>Jun-Ichi</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Tokyo Women's Medical University, Yachiyo Medical Center, Yachiyo, Japan. Electronic address: jtaka44@hotmail.co.jp.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shiihara</LastName><ForeName>Takashi</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Neurology, Gunma Children's Medical Center, Shibukawa, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hasegawa</LastName><ForeName>Takeshi</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Soka Municipal Hospital, Soka, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takayanagi</LastName><ForeName>Masaru</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Pediatrics, Sendai City Hospital, Sendai, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hara</LastName><ForeName>Munetsugu</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Pediatrics & Child Health, Kurume University School of Medicine, Kurume, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Okumura</LastName><ForeName>Akihisa</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Aichi Medical University, Nagakute, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mizuguchi</LastName><ForeName>Masashi</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Developmental Medical Sciences, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Neurol Sci</MedlineTA><NlmUniqueID>0375403</NlmUniqueID><ISSNLinking>0022-510X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D009108">Mumps Vaccine</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D014764">Viral Proteins</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003337" MajorTopicYN="N">Corpus Callosum</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004569" MajorTopicYN="N">Electroencephalography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004660" MajorTopicYN="N">Encephalitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007010" MajorTopicYN="N">Hyponatremia</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="Y">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009108" MajorTopicYN="N">Mumps Vaccine</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014764" MajorTopicYN="N">Viral Proteins</DescriptorName><QualifierName UI="Q000276" MajorTopicYN="Y">immunology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS)</Keyword><Keyword MajorTopicYN="N">Diffusion</Keyword><Keyword MajorTopicYN="N">Hyponatremia</Keyword><Keyword MajorTopicYN="N">MRI</Keyword><Keyword MajorTopicYN="N">Mumps vaccination</Keyword><Keyword MajorTopicYN="N">Splenium</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>10</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>11</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>9</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25542078</ArticleId><ArticleId IdType="pii">S0022-510X(14)00784-9</ArticleId><ArticleId IdType="doi">10.1016/j.jns.2014.12.019</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><country name="Japon"><noRegion><name sortKey="Takanashi, Jun Ichi" sort="Takanashi, Jun Ichi" uniqKey="Takanashi J" first="Jun-Ichi" last="Takanashi">Jun-Ichi Takanashi</name></noRegion><name sortKey="Hara, Munetsugu" sort="Hara, Munetsugu" uniqKey="Hara M" first="Munetsugu" last="Hara">Munetsugu Hara</name><name sortKey="Hasegawa, Takeshi" sort="Hasegawa, Takeshi" uniqKey="Hasegawa T" first="Takeshi" last="Hasegawa">Takeshi Hasegawa</name><name sortKey="Mizuguchi, Masashi" sort="Mizuguchi, Masashi" uniqKey="Mizuguchi M" first="Masashi" last="Mizuguchi">Masashi Mizuguchi</name><name sortKey="Okumura, Akihisa" sort="Okumura, Akihisa" uniqKey="Okumura A" first="Akihisa" last="Okumura">Akihisa Okumura</name><name sortKey="Shiihara, Takashi" sort="Shiihara, Takashi" uniqKey="Shiihara T" first="Takashi" last="Shiihara">Takashi Shiihara</name><name sortKey="Takayanagi, Masaru" sort="Takayanagi, Masaru" uniqKey="Takayanagi M" first="Masaru" last="Takayanagi">Masaru Takayanagi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|type= RBID
|clé= pubmed:25542078
|texte= Clinically mild encephalitis with a reversible splenial lesion (MERS) after mumps vaccination.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:25542078" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a MersV1
| This area was generated with Dilib version V0.6.33. |  |