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Transient splenial lesion of the corpus callosum in a case of benign convulsion associated with rotaviral gastroenteritis / 소아과
Korean Journal of Pediatrics ; : 859-862, 2010.
Artigo em Inglês | WPRIM | ID: wpr-46703
ABSTRACT
Transient magnetic resonance (MR) signal changes in the splenium of the corpus callosum (SCC) arise from many different conditions, including encephalopathy or encephalitis caused by infection, seizures, metabolic derangements, and asphyxia. Few case reports exist on reversible SCC lesions associated with rotavirus infection. A benign convulsion with mild gastroenteritis (CwG) is frequently associated with rotaviral infections. This entity is characterized by normal laboratory findings, electroencephalogram, neuroimaging, and good prognosis. We report a case of a 2.5-year-old Korean girl with rotavirus-associated CwG demonstrating a reversible SCC lesion on diffusion-weighted MR images. She developed 2 episodes of brief generalized tonic-clonic seizure with mild acute gastroenteritis without any other neurologic abnormality. Stool test for rotavirus antigen was positive. Brain MRI done on the day of admission showed a linear high signal intensity and decreased apparent diffusion coefficient values on the SCC. The lesion completely disappeared on follow-up MRI 6 days later. The patient fully recovered without any sequelae.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Asfixia / Infecções por Rotavirus / Convulsões / Encéfalo / Imageamento por Ressonância Magnética / Espectroscopia de Ressonância Magnética / Seguimentos / Rotavirus / Corpo Caloso Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Criança / Humanos Idioma: Inglês Revista: Korean Journal of Pediatrics Ano de publicação: 2010 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Prognóstico / Asfixia / Infecções por Rotavirus / Convulsões / Encéfalo / Imageamento por Ressonância Magnética / Espectroscopia de Ressonância Magnética / Seguimentos / Rotavirus / Corpo Caloso Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Criança / Humanos Idioma: Inglês Revista: Korean Journal of Pediatrics Ano de publicação: 2010 Tipo de documento: Artigo