Mild Encephalitis with a Reversible Splenial Lesion (MERS) Accompanied by Myelitis: A Case Report

Background: Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) can present with various manifestations of central nervous system (CNS) dysfunction. However, MERS with myelitis has rarely been reported. We reported a case of MERS with concomitant myelitis. Case Report: A 35-yea...

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Bibliographic Details
Published in:	Journal of Neurocritical Care Vol. 8; no. 2; pp. 118 - 121
Main Authors:	Juyoung Lee, Minwoo Lee, Chae Young Lee, Jinhyuk Yoo, Jong Seok Bae, Hong Ki Song
Format:	Journal Article
Language:	English
Published:	The Korean Neurocritical Care Society 30-12-2015
Subjects:	Ataxia of gait Corpus callosum Encephalitis Myelitis Urinary retention
Online Access:	Get full text
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Summary:	Background: Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) can present with various manifestations of central nervous system (CNS) dysfunction. However, MERS with myelitis has rarely been reported. We reported a case of MERS with concomitant myelitis. Case Report: A 35-year-old male was admitted to our department because of decreased mentality. Before admission, he complained of headache, fever over 38.0oC and urinary retention. Brain MRI showed a lesion on the splenium and spine MRI revealed diffuse lesions in the cervicothoracic segments. He was treated with an IV steroid pulse regimen for 5 days. Remarkably, he recovered from his neurological symptoms after 1 month of symptom onset. Conclusion: This is the first report on MERS with concomitant myelitis in Korea. While the etiology is unknown, certain trophisms of infectious pathogens to the CNS structure may have a role in this syndrome.
ISSN:	2005-0348
DOI:	10.18700/jnc.2015.8.2.118