Burillon M, Cheuret E, Chaix Y
Service de neuropédiatrie, hôpital des Enfants, place du Dr-Baylac, 31059 Toulouse cedex, France.
Arch Pediatr. 2010 May;17(5):491-4. doi: 10.1016/j.arcped.2010.02.010. Epub 2010 Mar 24.
We describe a rare case of Influenza B-associated encephalopathy with hemorrhagic lesions of the corpus callosum. A 12-year-old Caucasian girl presented a 24-h fever followed by partial seizure, secondarily generalized, and disturbance of consciousness. Magnetic resonance imaging on Day 2 of her illness showed two hemorrhagic lesions of the corpus callosum. The Influenza B virus was found on nasopharyngeal swab. Neurologic signs had completely recovered by Day 3. A review of the literature identified a few similar cases; the common features include a relatively older age and prompt and complete recovery from clinical symptoms. This is the first report to describe hemorrhagic lesions of the corpus callosum in influenza.
我们描述了一例罕见的乙型流感相关性脑病伴胼胝体出血性病变。一名12岁的白种女孩出现24小时发热，随后出现部分性癫痫发作，继发全身性发作，并伴有意识障碍。在其发病第2天进行的磁共振成像显示胼胝体有两个出血性病变。鼻咽拭子检测发现乙型流感病毒。到第3天，神经症状已完全恢复。文献回顾发现了一些类似病例；共同特征包括年龄相对较大以及临床症状迅速且完全恢复。这是首例描述流感中胼胝体出血性病变的报告。
