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伴可逆性胼胝体压部病变的轻度脑炎:一种临床良性疾病,常未被充分认识——临床病例及文献综述

Mild Encephalitis with a Reversible Splenial Lesion: A Clinical Benign Condition, often Underrecognized - Clinical Case and Literature Review.

作者信息

Marsala Sandro Zambito, Antichi Eleonora, Pistacchi Michele, Gioulis Manuela, Candeago Rosa Maria, Montemurro Roberta Taranto, Gentile Manrico, D'Andrea Paolo, Ferracci Franco

机构信息

Department of Neurology, San Martino Hospital, Belluno, Italy.

Department of Radiology, San Martino Hospital, Belluno, Italy.

出版信息

J Neurosci Rural Pract. 2017 Apr-Jun;8(2):281-283. doi: 10.4103/0976-3147.203828.

Abstract

Mild encephalitis with reversible lesion in the splenium is a clinicoradiological syndrome characterized by a variegated symptomatology with a solitary mass in the central portion of the splenium of the corpus callosum. Complete spontaneous resolution is the hallmark of this syndrome, though its pathogenesis is still unknown. We describe the clinical picture of a 51-year-old woman who developed a partial sensitive seizure, with MRI evidence of a lesion localized in the posterior portion of the corpus callosum. The patient made a full recovery thanks to the administration of antiepileptic drugs. Acquiring knowledge of this syndrome, in the wide diagnostic panel which includes vertebrobasilar diseases besides the broad range of metabolic and electrolyte disorders, is crucial to a prompt clinical diagnosis and in establishing a reliable prognosis at an early stage.

摘要

伴有胼胝体压部可逆性病变的轻度脑炎是一种临床放射学综合征,其特征为症状多样,胼胝体压部中央部分有孤立肿块。尽管其发病机制尚不清楚,但完全自发缓解是该综合征的标志。我们描述了一名51岁女性的临床表现,她出现了部分感觉性癫痫发作,MRI显示胼胝体后部有病变。由于使用了抗癫痫药物,患者完全康复。在包括椎基底动脉疾病以及广泛的代谢和电解质紊乱在内的广泛诊断范围内,了解这种综合征对于及时进行临床诊断和早期建立可靠的预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86e/5402501/210e61615257/JNRP-8-281-g001.jpg

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