Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, 1397-1 Yamane, Hidaka-shi, Saitama-ken, Japan.
Acta Neurochir (Wien). 2023 Jun;165(6):1603-1607. doi: 10.1007/s00701-023-05573-y. Epub 2023 Apr 13.
Isolated lesions of the corpus callosum are rare and may represent permanent but also transient responses to various pathology termed "reversible splenial lesion syndrome" (RESLES) when in light of relevant clinical presentation. We present the first case of the RESLES after elective surgery for distant arteriovenous malformation (AVM), followed by a slight speech disturbance and MRI verified small, oval, well-circumscribed area of apparent cytotoxic edema in the center of the corpus callosum splenium, which completely resolved within 15 days. Surgery for AVM is followed by the complex adaptation to a new vascular pattern, RESLES might develop, and should be suspected.
孤立性胼胝体病变较为罕见,在结合相关临床表现时,可能代表对各种病变的永久性或一过性反应,这种病变被称为“可逆性胼胝体压部病变综合征”(RESLES)。我们报告首例 RESLES 病例,患者因远处动静脉畸形(AVM)选择性手术,随后出现轻微言语障碍,磁共振成像(MRI)证实胼胝体压部中心存在小的椭圆形、边界清楚的明显细胞毒性水肿区,15 天内完全消退。AVM 手术后需要进行复杂的血管模式适应,RESLES 可能会发展,因此应怀疑该综合征。