Mild encephalopathy with splenial lesion and parainfluenza virus infection

Abenhaim Halpern, Lea; Agyeman, Philipp; Steinlin, Maja; El-Koussy, Marwan; Grunt, Sebastian (2013). Mild encephalopathy with splenial lesion and parainfluenza virus infection. Pediatric neurology, 48(3), pp. 252-4. Amsterdam: Elsevier 10.1016/j.pediatrneurol.2012.11.007

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Mild encephalopathy with reversible splenial lesions has mainly been associated with influenza A and B virus infection. Patients present with neurologic symptoms 1 to 3 days after a prodromal illness and recover completely within a few days. Magnetic resonance imaging typically shows reversible lesions with reduced diffusion in the corpus callosum, predominantly in the splenium. We report on a 5-year old Caucasian boy who was referred with recurrent seizures and decreased level of consciousness after a 2-day prodromal fever and cough. Magnetic resonance imaging showed cytotoxic edema of the entire corpus callosum and the adjacent periventricular white matter with diffusion restriction and faint T(2)-hyperintensity. Parainfluenza virus type 1-3 infection was documented by direct immunofluorescence in the initial nasopharyngeal swab, but polymerase chain reaction for parainfluenza virus type 1-4 in the cerebrospinal fluid remained negative. This is-to our knowledge-the first description of mild encephalopathy with reversible splenial lesions in association with parainfluenza virus infection. The pathogenesis of mild encephalopathy with reversible splenial lesions, however, still remains unclear, and further studies investigating detailed mechanisms that lead to the typical brain lesions are warranted.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Agyeman, Philipp; Steinlin, Maja; El-Koussy, Marwan and Grunt, Sebastian

ISSN:

0887-8994

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:36

Last Modified:

30 Jun 2014 09:18

Publisher DOI:

10.1016/j.pediatrneurol.2012.11.007

PubMed ID:

23419480

Web of Science ID:

000315616000016

URI:

https://boris.unibe.ch/id/eprint/14344 (FactScience: 221294)

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