[Clinical features of mild encephalitis/encephalopathy with a reversible splenial lesion in children].
Zhongguo Dang Dai Er Ke Za Zhi
; 18(12): 1291-1295, 2016 Dec.
Article
en Zh
| MEDLINE
| ID: mdl-27974125
ABSTRACT
OBJECTIVE:
To investigate the clinical features of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in children.METHODS:
The clinical data of 8 children with MERS were retrospectively analyzed.RESULTS:
The mean age of onset was 5 years and 2 months (range 10 months to 12 years). The major clinical features included a history of prodromal infection, and among these children, 5 had pyrexia and 4 had vomiting. Of all the children, 6 were manifested as convulsion and 3 each were manifested as disturbance of consciousness and paroxysmal paropsia. Cranial diffusion-weighted magnetic resonance imaging (MRI) showed high signals in the splenium of the corpus callosum. Among these children, one child had symmetric and multiple long T1 and long T2 signals in the bilateral centrum semiovale and part of the temporal white matter. MRI reexamination performed after 5-30 days showed the disappearance of abnormal signals in all the children. The children were followed up for 3 months to 2 years, and no child experienced abnormal neurodevelopment.CONCLUSIONS:
The development of MERS in children is closely associated with infection. MERS is characterized by high signals in the splenium of the corpus callosum on cranial diffusion-weighted MRI. Most children have good prognosis.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Encefalopatías
/
Imagen por Resonancia Magnética
/
Cuerpo Calloso
/
Encefalitis
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Idioma:
Zh
Revista:
Zhongguo Dang Dai Er Ke Za Zhi
Año:
2016
Tipo del documento:
Article