Encephalitis with reversible splenial and deep cerebral white matter lesions associated with Epstein-Barr virus infection in adults.
Identifieur interne : 000D20 ( PubMed/Checkpoint ); précédent : 000D19; suivant : 000D21Encephalitis with reversible splenial and deep cerebral white matter lesions associated with Epstein-Barr virus infection in adults.
Auteurs : Yanjun Guo [République populaire de Chine] ; Shuhui Wang [République populaire de Chine] ; Bin Jiang [République populaire de Chine] ; Jianle Li [République populaire de Chine] ; Lei Liu [République populaire de Chine] ; Jiawei Wang [République populaire de Chine] ; Weiqin Zhao [République populaire de Chine] ; Jianping Jia [République populaire de Chine]Source :
- Neuropsychiatric disease and treatment [ 1176-6328 ] ; 2017.
Abstract
Approximately 200 cases of mild encephalitis with reversible splenial (MERS) and deep cerebral white matter lesions have been reported since MERS was first defined in 2004. MERS occurs more frequently in children; in adults, only ~60 cases have been reported. Until now, only four cases of MERS in adults have been associated with Epstein-Barr virus (EBV).
DOI: 10.2147/NDT.S135510
PubMed: 28831257
Affiliations:
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Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Shuhui" sort="Wang, Shuhui" uniqKey="Wang S" first="Shuhui" last="Wang">Shuhui Wang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Jiang, Bin" sort="Jiang, Bin" uniqKey="Jiang B" first="Bin" last="Jiang">Bin Jiang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Li, Jianle" sort="Li, Jianle" uniqKey="Li J" first="Jianle" last="Li">Jianle Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Lei" sort="Liu, Lei" uniqKey="Liu L" first="Lei" last="Liu">Lei Liu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wang, Jiawei" sort="Wang, Jiawei" uniqKey="Wang J" first="Jiawei" last="Wang">Jiawei Wang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Zhao, Weiqin" sort="Zhao, Weiqin" uniqKey="Zhao W" first="Weiqin" last="Zhao">Weiqin Zhao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Jia, Jianping" sort="Jia, Jianping" uniqKey="Jia J" first="Jianping" last="Jia">Jianping Jia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28831257</idno><idno type="pmid">28831257</idno><idno type="doi">10.2147/NDT.S135510</idno><idno type="wicri:Area/PubMed/Corpus">000B88</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B88</idno><idno type="wicri:Area/PubMed/Curation">000B88</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000B88</idno><idno type="wicri:Area/PubMed/Checkpoint">000D20</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000D20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Encephalitis with reversible splenial and deep cerebral white matter lesions associated with Epstein-Barr virus infection in adults.</title><author><name sortKey="Guo, Yanjun" sort="Guo, Yanjun" uniqKey="Guo Y" first="Yanjun" last="Guo">Yanjun Guo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Shuhui" sort="Wang, Shuhui" uniqKey="Wang S" first="Shuhui" last="Wang">Shuhui Wang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Jiang, Bin" sort="Jiang, Bin" uniqKey="Jiang B" first="Bin" last="Jiang">Bin Jiang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Li, Jianle" sort="Li, Jianle" uniqKey="Li J" first="Jianle" last="Li">Jianle Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Lei" sort="Liu, Lei" uniqKey="Liu L" first="Lei" last="Liu">Lei Liu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wang, Jiawei" sort="Wang, Jiawei" uniqKey="Wang J" first="Jiawei" last="Wang">Jiawei Wang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Zhao, Weiqin" sort="Zhao, Weiqin" uniqKey="Zhao W" first="Weiqin" last="Zhao">Weiqin Zhao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author><author><name sortKey="Jia, Jianping" sort="Jia, Jianping" uniqKey="Jia J" first="Jianping" last="Jia">Jianping Jia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing</wicri:regionArea><wicri:noRegion>Capital Medical University. Beijing</wicri:noRegion></affiliation></author></analytic><series><title level="j">Neuropsychiatric disease and treatment</title><idno type="ISSN">1176-6328</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Approximately 200 cases of mild encephalitis with reversible splenial (MERS) and deep cerebral white matter lesions have been reported since MERS was first defined in 2004. MERS occurs more frequently in children; in adults, only ~60 cases have been reported. Until now, only four cases of MERS in adults have been associated with Epstein-Barr virus (EBV).</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28831257</PMID><DateRevised><Year>2019</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1176-6328</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Neuropsychiatric disease and treatment</Title><ISOAbbreviation>Neuropsychiatr Dis Treat</ISOAbbreviation></Journal><ArticleTitle>Encephalitis with reversible splenial and deep cerebral white matter lesions associated with Epstein-Barr virus infection in adults.</ArticleTitle><Pagination><MedlinePgn>2085-2092</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/NDT.S135510</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Approximately 200 cases of mild encephalitis with reversible splenial (MERS) and deep cerebral white matter lesions have been reported since MERS was first defined in 2004. MERS occurs more frequently in children; in adults, only ~60 cases have been reported. Until now, only four cases of MERS in adults have been associated with Epstein-Barr virus (EBV).</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">We report three adult cases of MERS associated with EBV infection in China. For all three patients, cranial magnetic resonance imaging (MRI) indicated solitary reversible splenial and/or perilateral ventricle white matter lesions with reduced diffusion. In the present report, all patients were adults presenting with high fever, headache, apathy, and confusion, as well as significant signs of meningeal inflammation. These symptoms peaked 10-14 days after disease onset, with serious hyponatremia (112-129 mmol/L), an elevated cerebrospinal fluid white blood cell count (80-380/mm<sup>3</sup>), and significantly increased protein levels (1,010-1,650 mg/dL). Cranial MRI indicated abnormal signal intensity in the splenium of corpus callosum and symmetrically reversible lesions scattered in the thalamus and deep cerebral white matter. The clinical symptoms tended to improve after ~10-14 days of antiviral treatment. However, these patients recovered more slowly than patients with viral meningitis.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">MERS associated with EBV infection in adults occurs less frequently but with more severe symptoms than in children. EBV infection should be considered for patients with MERS symptoms. MERS has a good prognosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Guo</LastName><ForeName>Yanjun</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Shuhui</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jiang</LastName><ForeName>Bin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Jianle</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Lei</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Jiawei</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhao</LastName><ForeName>Weiqin</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jia</LastName><ForeName>Jianping</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, Beijing Friendship Hospital, Capital Medical University. Beijing, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Neuropsychiatr Dis Treat</MedlineTA><NlmUniqueID>101240304</NlmUniqueID><ISSNLinking>1176-6328</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Epstein-Barr virus</Keyword><Keyword MajorTopicYN="N">apathy</Keyword><Keyword MajorTopicYN="N">corpus fluid</Keyword><Keyword MajorTopicYN="N">hyponatremia</Keyword><Keyword MajorTopicYN="N">mild encephalitis with reversible splenial lesions</Keyword></KeywordList><CoiStatement>Disclosure The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28831257</ArticleId><ArticleId IdType="doi">10.2147/NDT.S135510</ArticleId><ArticleId IdType="pii">ndt-13-2085</ArticleId><ArticleId IdType="pmc">PMC5548266</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Neurologist. 2011 May;17(3):157-9</Citation><ArticleIdList><ArticleId IdType="pubmed">21532386</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neuroimaging. 2010 Jan;20(1):1-2</Citation><ArticleIdList><ArticleId 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