Adult severe encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum: A case report.
Identifieur interne : 000850 ( PubMed/Corpus ); précédent : 000849; suivant : 000851Adult severe encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum: A case report.
Auteurs : Xi-Jing Mao ; Bo-Chi Zhu ; Ting-Min Yu ; Gang YaoSource :
- Medicine [ 1536-5964 ] ; 2018.
English descriptors
- KwdEn :
- MESH :
- complications : Encephalitis.
- diagnosis : Encephalitis.
- diagnostic imaging : Encephalitis.
- etiology : Memory Disorders, Status Epilepticus.
- pathology : Corpus Callosum, Encephalitis.
- Adult, Humans, Magnetic Resonance Imaging, Male.
Abstract
Clinically mild encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum (MERS) is a recently identified clinically and radiologically distinct syndrome. Clinical symptoms and lesions on the magnetic resonance imaging (MRI) often disappear in 1 week or a few weeks. However, MERS manifesting as a severe clinical course with significant sequela has not yet been reported.
DOI: 10.1097/MD.0000000000011324
PubMed: 29953022
Links to Exploration step
pubmed:29953022Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Adult severe encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum: A case report.</title>
<author><name sortKey="Mao, Xi Jing" sort="Mao, Xi Jing" uniqKey="Mao X" first="Xi-Jing" last="Mao">Xi-Jing Mao</name>
<affiliation><nlm:affiliation>Department of Neurology, The Second Hospital of Jilin University, Changchun, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zhu, Bo Chi" sort="Zhu, Bo Chi" uniqKey="Zhu B" first="Bo-Chi" last="Zhu">Bo-Chi Zhu</name>
</author>
<author><name sortKey="Yu, Ting Min" sort="Yu, Ting Min" uniqKey="Yu T" first="Ting-Min" last="Yu">Ting-Min Yu</name>
</author>
<author><name sortKey="Yao, Gang" sort="Yao, Gang" uniqKey="Yao G" first="Gang" last="Yao">Gang Yao</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Adult severe encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum: A case report.</title>
<author><name sortKey="Mao, Xi Jing" sort="Mao, Xi Jing" uniqKey="Mao X" first="Xi-Jing" last="Mao">Xi-Jing Mao</name>
<affiliation><nlm:affiliation>Department of Neurology, The Second Hospital of Jilin University, Changchun, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zhu, Bo Chi" sort="Zhu, Bo Chi" uniqKey="Zhu B" first="Bo-Chi" last="Zhu">Bo-Chi Zhu</name>
</author>
<author><name sortKey="Yu, Ting Min" sort="Yu, Ting Min" uniqKey="Yu T" first="Ting-Min" last="Yu">Ting-Min Yu</name>
</author>
<author><name sortKey="Yao, Gang" sort="Yao, Gang" uniqKey="Yao G" first="Gang" last="Yao">Gang Yao</name>
</author>
</analytic>
<series><title level="j">Medicine</title>
<idno type="eISSN">1536-5964</idno>
<imprint><date when="2018" type="published">2018</date>
</imprint>
</series>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Corpus Callosum (pathology)</term>
<term>Encephalitis (complications)</term>
<term>Encephalitis (diagnosis)</term>
<term>Encephalitis (diagnostic imaging)</term>
<term>Encephalitis (pathology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Memory Disorders (etiology)</term>
<term>Status Epilepticus (etiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Encephalitis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Encephalitis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Encephalitis</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Memory Disorders</term>
<term>Status Epilepticus</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Corpus Callosum</term>
<term>Encephalitis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
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<front><div type="abstract" xml:lang="en">Clinically mild encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum (MERS) is a recently identified clinically and radiologically distinct syndrome. Clinical symptoms and lesions on the magnetic resonance imaging (MRI) often disappear in 1 week or a few weeks. However, MERS manifesting as a severe clinical course with significant sequela has not yet been reported.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29953022</PMID>
<DateCompleted><Year>2018</Year>
<Month>07</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-5964</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>97</Volume>
<Issue>26</Issue>
<PubDate><Year>2018</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Medicine</Title>
<ISOAbbreviation>Medicine (Baltimore)</ISOAbbreviation>
</Journal>
<ArticleTitle>Adult severe encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum: A case report.</ArticleTitle>
<Pagination><MedlinePgn>e11324</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/MD.0000000000011324</ELocationID>
<Abstract><AbstractText Label="RATIONALE" NlmCategory="BACKGROUND">Clinically mild encephalitis/encephalopathy with a reversible splenial lesion of the corpus callosum (MERS) is a recently identified clinically and radiologically distinct syndrome. Clinical symptoms and lesions on the magnetic resonance imaging (MRI) often disappear in 1 week or a few weeks. However, MERS manifesting as a severe clinical course with significant sequela has not yet been reported.</AbstractText>
<AbstractText Label="PATIENT CONCERNS" NlmCategory="UNASSIGNED">A 42-year-old male presented with a 3-day history of headache, fever, and irrational speech. Physical examination showed a body temperature of 39.5°C, dysarthria, dyscalculia, recent memory disturbance, and otherwise normal vital signs. The patient developed status epilepticus and progressive consciousness disturbance. MRI showed abnormal patchy signals in the splenium of the corpus callosum.</AbstractText>
<AbstractText Label="DIAGNOSIS" NlmCategory="METHODS">The clinical feature and the characteristic of MRI are mostly consistent with MERS. At the same time, we made a differential diagnosis by testing the NMDARAb, AMPA1Ab, AMPA2Ab, LG1Ab, CASPR2Ab, GABABRAb in CSF and serum.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">The subject was treated with ganciclovir, antiepileptic, and antipyretic therapy.</AbstractText>
<AbstractText Label="OUTCOMES" NlmCategory="RESULTS">The subject was living a virtually normal life with persistent mild memory disturbance. MRI showed that the abnormal signals in the splenium of the corpus callosum had disappeared, but hyperintensity on T2-weighted and FLAIR imaging was noted in the centrum semiovale.</AbstractText>
<AbstractText Label="LESSONS" NlmCategory="CONCLUSIONS">MERS is a rare clinicoradiological syndrome, which can manifest as severe symptoms as well. Early diagnosis and treatment should be emphasized, and the diagnostic value of MRI is highlighted. Clinicians should be alert to the potential sequela.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mao</LastName>
<ForeName>Xi-Jing</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurology, The Second Hospital of Jilin University, Changchun, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Zhu</LastName>
<ForeName>Bo-Chi</ForeName>
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<Author ValidYN="Y"><LastName>Yu</LastName>
<ForeName>Ting-Min</ForeName>
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<Author ValidYN="Y"><LastName>Yao</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Medicine (Baltimore)</MedlineTA>
<NlmUniqueID>2985248R</NlmUniqueID>
<ISSNLinking>0025-7974</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003337" MajorTopicYN="N">Corpus Callosum</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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<MeshHeading><DescriptorName UI="D004660" MajorTopicYN="N">Encephalitis</DescriptorName>
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<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008569" MajorTopicYN="N">Memory Disorders</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<MeshHeading><DescriptorName UI="D013226" MajorTopicYN="N">Status Epilepticus</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<ReferenceList><Reference><Citation>Neurology. 2005 Apr 26;64(8):1487; author reply 1487</Citation>
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<Reference><Citation>Brain Dev. 2009 Aug;31(7):521-8</Citation>
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<Reference><Citation>Brain Dev. 2017 Apr;39(4):321-326</Citation>
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