Mild Encephalitis / Encephalopathy with Reversible Splenial and Cerebellar Lesions (MERS Type II) in a Patient with Diabetic Ketoacidosis and Hypernatraemia

Full Article

KH Tse, SS Lo

Hong Kong J Radiol 2015;18:293-6

DOI: 10.12809/hkjr1515304

Mild encephalitis / encephalopathy with a reversible splenial lesion is an uncommon condition that mainly affects young patients and children. Epilepsy and the use of antiepileptic medications are considered to be common associations. Other conditions such as infections, high-altitude cerebral oedema, and metabolic disturbances have also been suggested as causes. Concomitant involvement of the corpus callosum and cerebellum is even rarer. We present a patient with a reversible splenial lesion and concomitant reversible cerebellar lesions within the scope of diabetic ketoacidosis and hypernatraemia.

 

中文摘要

 

一名同時患有糖尿病酮症酸中毒和高鈉血症的病人出現伴胼胝體壓部和小腦可逆性病變的輕度腦炎/腦病(MERS II型)

謝家熙、盧承迅

 

伴胼胝體壓部可逆性病變的輕度腦炎/腦病主要見於年輕患者和兒童。癲癇和服用抗癲癇藥物被認為與此病相關。此外,感染、高原腦水腫和代謝紊亂也可能是病因。此病累及胼胝體和小腦者罕見。本文報告一名同時患有糖尿病酮症酸中毒和高鈉血症的輕度腦炎病人出現伴胼胝體壓部可逆性病變。