Publication: Rare Clinico-radiological Syndrome Mimicking Transient Ischemic Attack - A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Mild encephalitis / encephalopathy with reversible splenial syndrome (MERS) is a rare clinico-radiological entity characterized by mild to moderate neurological symptoms following a prodrome. Numerous infectious causes have been documented, most common being viruses and few bacteria (E. coli, Salmonella, Streptococcus & Legionella). MRI typically shows an isolated lesion in the splenium of corpus callosum, rarely in other white matter regions. Here, we discuss a 13 years old boy presenting to us like transient ischemic attack but turning out to be MERS on neuroimaging. The boy improved symptomatically in 72 hrs with spontaneous resolution within four weeks.
Description
Dinesh M. Sarathy
Department of Paediatrics, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Madagadipet, Kalitheerthalkuppam, Puducherry 605107, India
Kanimozhi Thandapani
Department of Paediatrics, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Madagadipet, Kalitheerthalkuppam, Puducherry 605107, India
Arulkumaran Arunagirinathan
Department of Paediatrics, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Madagadipet, Kalitheerthalkuppam, Puducherry 605107, India
Umamageshwari Amirthalingam
Department of Radiology, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Madagadipet, Kalitheerthalkuppam, Puducherry 605107, India
Keywords
Reversible splenial lesion, MERS, RESLES, splenium of corpus callosum