Yaguchi Masamitsu, Yaguchi Hisa, Itoh Tetsuro, Okamoto Koichi
Department of Neurology, Shinoda General Hospital, Yamagata, and the Department of Neurology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Intern Med. 2005 Dec;44(12):1291-4. doi: 10.2169/internalmedicine.44.1291.
We report a 51-year-old Japanese man with chronic alcoholism who complained of mental confusion following respiratory and intestinal infections. The splenium of the corpus callosum showed hyperintensity on both diffusion-weighted MR images and fluid-attenuated inversion recovery images and hypointensity on T1-weighted images. These findings were resolved on MR images obtained 3 days later. He showed complete neurological recovery within 2 months. We suspected that he had mild encephalopathy with a reversible splenial lesion after systemic viral or bacterial infection.
我们报告一名51岁患有慢性酒精中毒的日本男性，他在呼吸道和肠道感染后出现精神错乱。胼胝体压部在扩散加权磁共振成像和液体衰减反转恢复图像上均显示高信号，在T1加权图像上显示低信号。这些表现在3天后获得的磁共振图像上消失。他在2个月内实现了完全的神经功能恢复。我们怀疑他在全身性病毒或细菌感染后患有伴有可逆性胼胝体病变的轻度脑病。
