Document Detail


Reversible splenial lesion syndrome in cerebral malaria.
MedLine Citation:
PMID:  20381148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 71-year-old Caucasian man living in Congo was investigated by serial magnetic resonance imaging (MRI) after having presented cerebral malaria due to Plasmodium falciparum. The clinical picture was characterized initially by coma and seizures. The patient developed multiple organ failure. There was, at 4 months follow-up only, a minimal neurological improvement consistent with minimally conscious state. The first cerebral MRI on day 17 showed a lesion of the splenium of corpus callosum with high signal intensity on DWI and FLAIR sequence and reduced ADC, and small cortical infarcts in the internal occipital regions. Follow-up MRI obtained 36 days later showed a complete resolution of splenial lesion, though without clinical improvement. Cerebral malaria should be added to the list of possible causes of reversible lesion of the splenium of corpus callosum.
Authors:
P Hantson; D Hernalsteen; G Cosnard
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-08
Journal Detail:
Title:  Journal of neuroradiology. Journal de neuroradiologie     Volume:  37     ISSN:  0150-9861     ISO Abbreviation:  J Neuroradiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-05     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705086     Medline TA:  J Neuroradiol     Country:  France    
Other Details:
Languages:  eng     Pagination:  243-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Masson SAS. All rights reserved.
Affiliation:
Department of Intensive Care, cliniques universitaires Saint-Luc, université catholique de Louvain, Brussels, Belgium. philippe.hantson@uclouvain.be
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MeSH Terms
Descriptor/Qualifier:
Aged
Antimalarials / therapeutic use
Corpus Callosum / pathology*
Humans
Magnetic Resonance Imaging
Malaria, Cerebral / pathology*,  therapy
Male
Quinine / therapeutic use
Renal Dialysis
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antimalarials; 130-95-0/Quinine

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