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可逆性胼胝体病变综合征(RESLES):两例研究病例

Reversible splenial lesion syndrome (RESLES): Two patients as study cases.

作者信息

Nasri Siham, Abdelaouahhab Hajar, Abbou Widad, Guerrouj Imane, Aichouni Narjisse, Kamaoui Imane, Skiker Imane

机构信息

Department of Radiology, Mohammed VI University Hospital, Faculty of Medecine, University Mohammed First, Oujda, Morocco.

Vascular Anomalies Research Unit, Medical Science Research Laboratory Mohammed VI University hospital, faculty of Medecine, University Mohammed first, Oujda, Morocco.

出版信息

Radiol Case Rep. 2022 Jul 30;17(10):3635-3638. doi: 10.1016/j.radcr.2022.07.033. eCollection 2022 Oct.

Abstract

Reversible splenial injury syndrome (RESLES) is a rare clinicoradiological entity that defines a reversible lesion in the splenium of the callosum in magnetic resonance imaging. RESLES may be of infectious iatrogenic or metabolic origin. We report 2 cases of drug induced RESLES in our training. The presence of an isolated lesion of the corpus callosum in a context of polymedication by psychotropic drugs and the regression in less than 4 weeks suggests a toxic origin, in particular medicinal. The pathophysiology of these reversibles lesions of the splenium of callosum is not very clear, most often it is a phenomenon of vasogenic edema that is evoked, the clinical symptoms are very varied and nonspecific, and the prognosis is generally good in the absence of underlying disorder.

摘要

可逆性胼胝体压部损伤综合征(RESLES)是一种罕见的临床放射学实体,指磁共振成像中胼胝体压部的可逆性病变。RESLES可能源于感染、医源性或代谢因素。我们报告了2例在我们培训期间出现的药物诱导性RESLES病例。在使用精神药物进行多药联合治疗的情况下出现孤立的胼胝体病变,且在不到4周内消退,提示有毒性来源,尤其是药物性。这些胼胝体压部可逆性病变的病理生理学尚不清楚,最常引发的是血管源性水肿现象,临床症状非常多样且无特异性,在没有基础疾病的情况下,预后通常良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c16/9343403/dcfb68051bb9/gr1.jpg

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