Sato Tatsuharu, Ushiroda Yoko, Oyama Toshifumi, Nakatomi Akiko, Motomura Hideki, Moriuchi Hiroyuki
Department of Pediatrics, Nagasaki University Hospital, Nagasaki, Japan.
Brain Dev. 2012 Aug;34(7):605-8. doi: 10.1016/j.braindev.2011.09.015. Epub 2011 Oct 22.
We report for the first time the single photon emission computed tomography (SPECT) findings of a patient with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with Kawasaki disease, which showed hypoperfusion of the bilateral cingulate gyri, thalamus, basal ganglia, brainstem, and cortex of the frontal lobes. These findings indicate that the pathogenesis of MERS is based on cerebral hypoperfusion due to vasculitis or cerebrovascular dehydration.
我们首次报告了一名患有与川崎病相关的临床轻度脑炎/脑病伴可逆性胼胝体压部病变（MERS）患者的单光子发射计算机断层扫描（SPECT）结果，该结果显示双侧扣带回、丘脑、基底神经节、脑干和额叶皮质灌注不足。这些发现表明，MERS的发病机制是基于血管炎或脑血管脱水导致的脑灌注不足。
