Fornix Injury in a Patient with Rotavirus Encephalopathy: Diffusion Tensor Tractography Study.
10.5535/arm.2012.36.4.551
- Author:
Su Min SON
1
;
Sung Ho JANG
;
Eun Sil LEE
;
Sang Ho AHN
;
Dong Gyu LEE
;
Hee Kyung CHO
Author Information
1. Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu 705-717, Korea. pure0920@hanmail.net
- Publication Type:Case Report
- Keywords:
Diffusion tensor tractography;
Rotavirus encephalopathy;
Fornix
- MeSH:
Anisotropy;
Corpus Callosum;
Diarrhea;
Diffusion;
Female;
Follow-Up Studies;
Gastroenteritis;
Humans;
Preschool Child;
Rotavirus;
Rotavirus Infections;
Seizures;
Vomiting
- From:Annals of Rehabilitation Medicine
2012;36(4):551-555
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rotavirus encephalopathy (RE) is a benign afebrile seizure associated with acute gastroenteritis caused by rotavirus infection. We investigated the diffusion tensor tractography (DTT) findings of a patient with RE. The patient was a 30-month-old female that had experienced a brief, generalized convulsive seizure. On the day of admission, the patient had vomiting and experienced watery diarrhea. Her stool was positive for rotavirus antigen. At onset, the patient displayed a drowsy and delirious mental status; later, a splenial lesion of the corpus callosum was found on MRI. One week later, the patient's condition improved and the splenial lesion had disappeared by conventional MRI. Initial DTI showed decreased fractional anisotropy (FA) values of fornix, as well as of the corpus callosum. A follow-up DTT showed a restored interrupted right fonical crus and increased FA values of corpus callosum and fornix. These results highlight the implications of the probability of not only a corpus callosum injury, but a fornix injury as well, in this patient with RE.
