Reversible splenial lesion of the corpus callosum associated with bacterial meningitis

Morii, Kazuhiko; Kogita, Yuya; Takata, Miho; Yamamoto, Tetsuya; Kuroda, Hiroshi; Okushin, Hiroaki; Uesaka, Katsuhiko

doi:10.1016/j.ijid.2013.09.017

Cited by 4 publications

(4 citation statements)

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“…Lesions of the SCC are often diagnosed using magnetic resonance imaging, showing a focal, ovoid, isolated, well-demarcated, and symmetrical lesion, and as high signal intensity in T2, fluid-attenuated inversion recovery (FLAIR), and diffuse-weighted images (DWI) with a decreased signal on the apparent diffusion coefficient (ADC) map [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…Cases of isolated reversible splenial lesion in adult meningitis have also been reported due to pathogens including Streptococcus pneumoniae, Legionella pneumophila, and Salmonella enteritidis [2]. However, adults are less affected than children and newborns [5].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the localization, ovoid symmetrical shape, reversibility, and good prognosis suggest an intramyelinic edema rather than a cytotoxic one [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Isolated and reversible lesions of the splenium of the corpus callosum (SCC) are usually revealed by brain magnetic resonance imaging (MRI) following mild encephalitis, alcohol toxicity, or even hypoglycemia. However, these radiological lesions were described in some patients with meningitis [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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A Reversible Lesion of the Corpus Callosum Associated With Bacterial Meningitis

Mimouni¹,

Tazi²,

Miqdadi³

et al. 2022

Cureus

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We report the rare case of a 22-year-old female admitted for headaches, nausea, and an isolated lesion of the splenium of the corpus callosum (SCC) found on brain magnetic resonance imaging (MRI). A lumbar puncture test was performed, and Pseudomonas aeruginosa meningitis was found. Twenty days before the symptoms, she had spinal anesthesia for a cesarean section.As soon as the diagnosis was made, antibiotic therapy was initiated. Nonetheless, no signs or symptoms were related to this lesion, which spontaneously disappeared within one month on the control MRI.Pseudomonas aeruginosa is a gram-negative bacillus and may cause rare and severe meningitis. Therefore, a history of a neurosurgical procedure or spinal anesthesia should be sought in the anamnesis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Therefore, the localization, ovoid symmetrical shape, reversibility, and good prognosis suggest an intramyelinic edema rather than a cytotoxic one [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%