Acute encephalopathy with callosal, subcortical and thalamic lesions
- Author:
uko Nakano
;
Yukifumi Monden
;
Masashi Mizuguchi
;
Masako Nagashima
;
Yasunori Koike
;
Yuji Gunji
;
Naoto Takahashi
;
Hideo Sugie
;
MarikoY. Momoi
;
Takanori Yamagata
- Publication Type:Case Reports
- MeSH:
Brain Diseases
- From:Neurology Asia
2015;20(1):85-89
- CountryMalaysia
- Language:English
-
Abstract:
Acute encephalopathy is classified into multiple syndromes, such as acute encephalopathy with biphasic
seizures and late reduced diffusion (AESD), clinically mild encephalitis/encephalopathy with a reversible
splenial lesion (MERS) and acute necrotizing encephalopathy (ANE), characterized radiologically
by lesions in the cerebral subcortical white matter, splenium of the corpus callosum and bilateral
thalami, respectively. We described a previously healthy 8-year-old boy who had febrile and biphasic
seizures, and encephalopathy. MRI showed abnormal signal intensity in the corpus callosum on day
2 and cerebral subcortical white matter and bilateral thalamic lesions on day 8. This is the first case
of acute encephalopathy in which callosal, subcortical and thalamic lesions co-existed. The clinical
course of this case was typical for AESD, atypical for MERS, and different from that of ANE.
- Full text:P020150623425923838954.pdf
