Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy

Reversible focal lesions on the splenium of the corpus callosum (SCC) have been reported in patients with mild encephalitis/encephalopathy caused by various infectious agents, such as influenza, mumps, adenovirus, Varicella zoster, Escherichia coli, Legionella pneumophila, and Staphylococcus aureus....

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Main Authors: Soon Young Ko, Byung Kook Kim, Dong Wook Kim, Jeong Han Kim, Won Hyeok Choe, Hee Yeon Seo, So Young Kwon
Format: Article
Language:English
Published: Korean Association for the Study of the Liver 2014-12-01
Series:Clinical and Molecular Hepatology
Subjects:
Online Access:http://e-cmh.org/upload/pdf/cmh-20-398.pdf
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author Soon Young Ko
Byung Kook Kim
Dong Wook Kim
Jeong Han Kim
Won Hyeok Choe
Hee Yeon Seo
So Young Kwon
author_facet Soon Young Ko
Byung Kook Kim
Dong Wook Kim
Jeong Han Kim
Won Hyeok Choe
Hee Yeon Seo
So Young Kwon
author_sort Soon Young Ko
collection DOAJ
description Reversible focal lesions on the splenium of the corpus callosum (SCC) have been reported in patients with mild encephalitis/encephalopathy caused by various infectious agents, such as influenza, mumps, adenovirus, Varicella zoster, Escherichia coli, Legionella pneumophila, and Staphylococcus aureus. We report a case of a reversible SCC lesion causing reversible encephalopathy in nonfulminant hepatitis A. A 30-year-old healthy male with dysarthria and fever was admitted to our hospital. After admission his mental status became confused, and so we performed electroencephalography (EEG) and magnetic resonance imaging (MRI) of the brain, which revealed an intensified signal on diffusion-weighted imaging (DWI) at the SCC. His mental status improved 5 days after admission, and the SCC lesion had completely disappeared 15 days after admission.
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spelling doaj.art-63fab352f0714e7eba45e9afebc461312022-12-22T03:02:05ZengKorean Association for the Study of the LiverClinical and Molecular Hepatology2287-27282287-285X2014-12-0120439840110.3350/cmh.2014.20.4.3981111Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathySoon Young Ko0Byung Kook Kim1Dong Wook Kim2Jeong Han Kim3Won Hyeok Choe4Hee Yeon Seo5So Young Kwon6Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.Department of Neurology, Konkuk University School of Medicine, Seoul, Korea.Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.Reversible focal lesions on the splenium of the corpus callosum (SCC) have been reported in patients with mild encephalitis/encephalopathy caused by various infectious agents, such as influenza, mumps, adenovirus, Varicella zoster, Escherichia coli, Legionella pneumophila, and Staphylococcus aureus. We report a case of a reversible SCC lesion causing reversible encephalopathy in nonfulminant hepatitis A. A 30-year-old healthy male with dysarthria and fever was admitted to our hospital. After admission his mental status became confused, and so we performed electroencephalography (EEG) and magnetic resonance imaging (MRI) of the brain, which revealed an intensified signal on diffusion-weighted imaging (DWI) at the SCC. His mental status improved 5 days after admission, and the SCC lesion had completely disappeared 15 days after admission.http://e-cmh.org/upload/pdf/cmh-20-398.pdfAcute hepatitis AEncephalopathyMagnetic resonance imagingCorpus callosum
spellingShingle Soon Young Ko
Byung Kook Kim
Dong Wook Kim
Jeong Han Kim
Won Hyeok Choe
Hee Yeon Seo
So Young Kwon
Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy
Clinical and Molecular Hepatology
Acute hepatitis A
Encephalopathy
Magnetic resonance imaging
Corpus callosum
title Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy
title_full Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy
title_fullStr Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy
title_full_unstemmed Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy
title_short Reversible splenial lesion on the corpus callosum in nonfulminant hepatitis A presenting as encephalopathy
title_sort reversible splenial lesion on the corpus callosum in nonfulminant hepatitis a presenting as encephalopathy
topic Acute hepatitis A
Encephalopathy
Magnetic resonance imaging
Corpus callosum
url http://e-cmh.org/upload/pdf/cmh-20-398.pdf
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