Reversible splenial lesion syndrome: two cases report and review of literature
<p><strong>Objective</strong> To report 2 cases of reversible splenial lesion syndrome (RESLES) and to summarize some key points in diagnosis and treatment of this disease. <strong>Methods</strong> The pathogenesis, clinical presentations, neuroimaging features and...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tianjin Huanhu Hospital
2014-07-01
|
| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/994 |
| _version_ | 1818926666124099584 |
|---|---|
| author | Xu-ming FANG Hui YU Zhu XU Hong-qun CHEN Lan CHU |
| author_facet | Xu-ming FANG Hui YU Zhu XU Hong-qun CHEN Lan CHU |
| author_sort | Xu-ming FANG |
| collection | DOAJ |
| description | <p><strong>Objective</strong> To report 2 cases of reversible splenial lesion syndrome (RESLES) and to summarize some key points in diagnosis and treatment of this disease. <strong>Methods</strong> The pathogenesis, clinical presentations, neuroimaging features and outcomes of 2 cases with RESLES were retrospectively analyzed and related literature was reviewed. <strong>Results</strong> Two patients, including a 24-year-old female and an 18-year-old male, presented with sudden-onset neurologic symptoms, which became prominent after the initiation of an upper respiratory infection. Both patients were previously healthy and had no history of seizure, usage of antiepileptic drugs, or any type of vaccination during the last 2 years. Case 1 just presented with non-vertiginous dizziness. However, Case 2 presented symptoms such as dysphrenia, fever, rigidity, tremor, leukocytosis and creatine kinase (CK) elevation. Their clinical presentations were nonspecific, without evidence of callosal disconnection syndrome. They were treated with corticosteroids. Clinically, both patients were greatly improved after 14 and 21 days. Cranial MRI showed an isolated lesion centered in the splenium of the corpus callosum. The lesions were round-shaped without contrast enhancement, and disappeared after complete remission of the underlying disease. <strong>Conclusions </strong> To our knowledge and according to previous reports, RESLES is a distinct clinicoradiological syndrome of varied etiology. In addition to sudden withdrawal of antiepileptic drugs and infection, RESLES can be caused by neuroleptic malignant syndrome (NMS). The outcome of the above mentioned cases supports the opinion that prognosis depends on the underlying disorder, but not on the presence or absence of the splenial lesion.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.07.007</p> |
| first_indexed | 2024-12-20T03:00:44Z |
| format | Article |
| id | doaj.art-97cb85b8e9324b3e97b285d50d1d0ffe |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-20T03:00:44Z |
| publishDate | 2014-07-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-97cb85b8e9324b3e97b285d50d1d0ffe2022-12-21T19:55:46ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312014-07-01147586591991Reversible splenial lesion syndrome: two cases report and review of literatureXu-ming FANG0Hui YU1Zhu XU2Hong-qun CHEN3Lan CHU4Department of Neurology, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, Guizhou, ChinaDepartment of Radiology, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, Guizhou, ChinaDepartment of Neurology, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, Guizhou, ChinaDepartment of Neurology, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, Guizhou, ChinaDepartment of Neurology, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, Guizhou, China<p><strong>Objective</strong> To report 2 cases of reversible splenial lesion syndrome (RESLES) and to summarize some key points in diagnosis and treatment of this disease. <strong>Methods</strong> The pathogenesis, clinical presentations, neuroimaging features and outcomes of 2 cases with RESLES were retrospectively analyzed and related literature was reviewed. <strong>Results</strong> Two patients, including a 24-year-old female and an 18-year-old male, presented with sudden-onset neurologic symptoms, which became prominent after the initiation of an upper respiratory infection. Both patients were previously healthy and had no history of seizure, usage of antiepileptic drugs, or any type of vaccination during the last 2 years. Case 1 just presented with non-vertiginous dizziness. However, Case 2 presented symptoms such as dysphrenia, fever, rigidity, tremor, leukocytosis and creatine kinase (CK) elevation. Their clinical presentations were nonspecific, without evidence of callosal disconnection syndrome. They were treated with corticosteroids. Clinically, both patients were greatly improved after 14 and 21 days. Cranial MRI showed an isolated lesion centered in the splenium of the corpus callosum. The lesions were round-shaped without contrast enhancement, and disappeared after complete remission of the underlying disease. <strong>Conclusions </strong> To our knowledge and according to previous reports, RESLES is a distinct clinicoradiological syndrome of varied etiology. In addition to sudden withdrawal of antiepileptic drugs and infection, RESLES can be caused by neuroleptic malignant syndrome (NMS). The outcome of the above mentioned cases supports the opinion that prognosis depends on the underlying disorder, but not on the presence or absence of the splenial lesion.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.07.007</p>http://www.cjcnn.org/index.php/cjcnn/article/view/994Corpus callosumBrain diseasesNeuroleptic malignant syndromeMagnetic resonance imaging |
| spellingShingle | Xu-ming FANG Hui YU Zhu XU Hong-qun CHEN Lan CHU Reversible splenial lesion syndrome: two cases report and review of literature Chinese Journal of Contemporary Neurology and Neurosurgery Corpus callosum Brain diseases Neuroleptic malignant syndrome Magnetic resonance imaging |
| title | Reversible splenial lesion syndrome: two cases report and review of literature |
| title_full | Reversible splenial lesion syndrome: two cases report and review of literature |
| title_fullStr | Reversible splenial lesion syndrome: two cases report and review of literature |
| title_full_unstemmed | Reversible splenial lesion syndrome: two cases report and review of literature |
| title_short | Reversible splenial lesion syndrome: two cases report and review of literature |
| title_sort | reversible splenial lesion syndrome two cases report and review of literature |
| topic | Corpus callosum Brain diseases Neuroleptic malignant syndrome Magnetic resonance imaging |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/994 |
| work_keys_str_mv | AT xumingfang reversiblespleniallesionsyndrometwocasesreportandreviewofliterature AT huiyu reversiblespleniallesionsyndrometwocasesreportandreviewofliterature AT zhuxu reversiblespleniallesionsyndrometwocasesreportandreviewofliterature AT hongqunchen reversiblespleniallesionsyndrometwocasesreportandreviewofliterature AT lanchu reversiblespleniallesionsyndrometwocasesreportandreviewofliterature |