Cytomegalovirus-Associated Mild Encephalopathy/Encephalitis With Reversible Splenial Lesion.
Neurologist
; 26(5): 172-174, 2021 Sep 07.
Article
in En
| MEDLINE
| ID: mdl-34491933
ABSTRACT
INTRODUCTION:
Mild encephalopathy with a reversible splenial lesion (MERS) is a clinical-radiologic syndrome presenting with a reversible lesion in the splenium of the corpus callosum. MERS is associated with many potential etiologies, including cytomegalovirus (CMV) infection in children. We report an adult patient with CMV-associated MERS. CASE REPORT A previously healthy 25-year-old man was admitted with a 4-day history of fever, headache, and vomiting. Brain magnetic resonance imaging demonstrated an isolated lesion of the splenium of the corpus callosum with hyperintensity on T2 and diffusion-weighted sequences and reduced values on apparent diffusion coefficient maps. High throughput gene detection for pathogens in cerebrospinal fluid revealed infection with CMV. The splenial lesion resolved 4 weeks after onset.CONCLUSION:
This is the first report an adult patient with CMV-associated MERS. Recognition of this clinical-radiologic syndrome can guide diagnosis and management.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Brain Diseases
/
Cytomegalovirus Infections
/
Encephalitis
Type of study:
Risk_factors_studies
Limits:
Adult
/
Child
/
Humans
/
Male
Language:
En
Journal:
Neurologist
Journal subject:
NEUROLOGIA
Year:
2021
Document type:
Article