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Journals / Tıp Araştırmaları Dergisi / 2014 / Cilt: 12 - Sayı: 1

Postinfectious Transient Lesion in the Splenium of theCorpus Callosum: Case Report

Korpus Kallozum Spleniumunda Postinfeksiyöz GeçiciLezyon: Olgu Sunumu

Bekir ÇAĞLI
Sedat ALPASLAN TUNCEL
Harun MEST GÜVEN
Talip ASİL
Ercüment ÜNLÜ
Pages
30–33
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The lesion localisation and the radiologic appearence is nonspesif'ıc and this phenomenon can be encountered with various viral and bacterial encephalitis or encephalopathy as well as in epileptic patients on antiepileptic treatment.

📌 3 Key Takeaways

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Objective & Hypothesis:39-year-old man presented to our emergency department with confusion, high fever and headache.
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Key Findings & Data:Cranial magnetic rezonans imaging (MRI) performed and in the splenium of the corpus callosum (SCC) focal lesion showing restricted diffusion revealed.
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Conclusion & Impact:The lesion localisation and the radiologic appearence is nonspesif'ıc and this phenomenon can be encountered with various viral and bacterial encephalitis or encephalopathy as well as in epileptic patients on antiepileptic treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

39-year-old man presented to our emergency department with confusion, high fever and headache. Cranial magnetic rezonans imaging (MRI) performed and in the splenium of the corpus callosum (SCC) focal lesion showing restricted diffusion revealed. Cerebrospinal fluid (CSF) analysis led to the meningoencephalitis as the prediagnosis and appropriate medical treatment applied. Clinical status of the patient rapidly resolved and one month later control MRI showed complete disappearence of the lesion. The findings found compatible with the postinfectious trancient lesion of the SCC. The lesion localisation and the radiologic appearence is nonspesif'ıc and this phenomenon can be encountered with various viral and bacterial encephalitis or encephalopathy as well as in epileptic patients on antiepileptic treatment.

Özet

Acil servise bilinç bulanıklığı, yüksek ateş ve baş ağrısı şikayeti ile başvuran 39 yaşındaki erkek hastanın yapılan kranyal manyetik rezonans görüntüleme (MRG)'sinde korpus kallozum splenium (KKS) kesiminde difüzyon kısıtlaması gösteren fokal lezyon izlendi. Beyin omurilik sıvısı (BOS) analizi ile birlikte hastaya meningoensefalit ön tanısı ile medikal tedavi başlandı. Kliniği hızla düzelme gösteren hastanın bir ay sonra yapılan kontrol kranyal MRG incelemesinde, korpus kallozumdaki lezyonunun tümü ile ortadan kalktığı görüldü. Bulgular KKS'nin postinfeksiyöz geçici lezyonu ile uyumlu olarak değerlendirildi. Bu lokalizasyon ve radyolojik özellikler spesifik olmayıp çeşitli viral ve bakteriyal enfeksiyonlarla ilişkili ensefalit/ensefalopati yada antiepileptik ilaç kullanan epilepsi hastalarında da görülebilmektedir.

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Cite This Article

ÇAĞLI, B., TUNCEL, S. A., GÜVEN, H. M., ASİL, T., ÜNLÜ, E. (2014). Postinfectious Transient Lesion in the Splenium of theCorpus Callosum: Case Report. Tıp Araştırmaları Dergisi, Cilt: 12 - Sayı: 1, 30–33. https://ajindex.com/articles/361803

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References (3)

  1. . Guven H, Delibas S, Comoglu SS. Transient Lesion in the Splenium of the Corpus Callosum Due to Carbamazepine. Turkish Neurosurgery 2008,:18, 264-270. Studahl M. Influenza virus and CNS manifestations. Clin Virol 2003; 28:225—232 Takanashi J, Barkovich AJ, Yamaguchi K, et al. Influenza-associated encephalitis/encephalopathy with reversible lesion in the splenium of the corpus callosum: case report and literature review. AJNR Am Neuroradiol 2004; 25:798— 802. Bulakbasi N, Kocaoglu M, Tayfun C, Ucoz T. Transient splenial lesion of the corpus callosum in clinically mild influenza-associated encephalitis/encephalopathy. AJNR Am Neuroradiol 2006; 27:1983—1986.
  2. Fluss J, Ferey S, Menache—Starobinski C, Delavelle J, Bogaert PV, Vargas MI. Mild influenza-associated encephalopathy/encephalitis with reversible splenial lesion in Caucasian child with additional cerebellar features. European journal of paediatric neurology 2010; 14297—100. Sugaya N. Influenza-associated encephalopathy in Japan: pathogenesis and treatment. Pediatr Int 2000; 42:215—218. Steininger C, Popow-Kraupp T, Laferl H, et al. Acute encephalopathy associated with influenza virus infection. Clin Infect Dis 2003;36:567—574. Kimura S, Ohtsuki N, Nezu A, et al. Clinical and radiological variability of influenza-related encephalopathy or encephalitis. Acta Paediatr Jpn 1998; 40:264—270. Tokunaga Y, Kira R, Takemoto M, Diagnostic usefulness of diffusion weighted magnetic resonance imaging in influenzaassociated acute encephalopathy or encephalitis. Brain Dev 2000; 22:451—453. Tada H, Takanashi J, Barkovich AJ, et al. Clinically mild encephalitis/encephalopathy with reversible splenial lesion. Neurology 2004; 63:1854—1858. Kato Z, Kozawa R, Hashimoto K, et al. Transient lesion in the splenium of the corpus callosum in acute cerebellitis. Child Neurol 2003; 18:291— 292. Fukuda S, Kishi K, Yasuda K, Sejima H, Yamaguchi S. Rotavirus-associated encephalopathy with reversible splenial lesion. Pediatr Neurol 2009; 40:131-133.
  3. Mito Y, Yoshida K, Kikuchi S. Measles encephalitis with peculiar MRI findings: report of two adult cases [in Japanese]. Neurol Med 2002; 56:251—256. Kobuchi N, Tsukahara H, Kawamura Y, et a1. Reversible diffusion-weighted MRfindings of Salmonella enteritidis—associated encephalopathy. Eur Neurol 2003; 49:182—184. Morgan JC, Cavaliere R, Juel VC. Reversible corpus callosum lesion in Legionnaires’ disease. Neurol Neurosurg Psychiatry 2004; 75:651—654. Ogura H, Takaoka M, Kishi M, et a1. Re