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KMID : 0361420120360040551
Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 4 p.551 ~ p.555
Fornix Injury in a Patient with Rotavirus Encephalopathy: Diffusion Tensor Tractography Study
Son Su-Min

Jang Sung-Ho
Lee Eun-Sil
Ahn Sang-Ho
Lee Dong-Gyu
Cho Hee-Kyung
Abstract
Rotavirus encephalopathy (RE) is a benign afebrile seizure associated with acute gastroenteritis caused by rotavirus infection. We investigated the diffusion tensor tractography (DTT) findings of a patient with RE. The patient was a 30-month-old female that had experienced a brief, generalized convulsive seizure. On the day of admission, the patient had vomiting and experienced watery diarrhea. Her stool was positive for rotavirus antigen. At onset, the patient displayed a drowsy and delirious mental status; later, a splenial lesion of the corpus callosum was found on MRI. One week later, the patient¡¯s condition improved and the splenial lesion had disappeared by conventional MRI. Initial DTI showed decreased fractional anisotropy (FA) values of fornix, as well as of the corpus callosum. A follow-up DTT showed a restored interrupted right fonical crus and increased FA values of corpus callosum and fornix. These results highlight the implications of the probability of not only a corpus callosum injury, but a fornix injury as well, in this patient with RE.
KEYWORD
Diffusion tensor tractography, Rotavirus encephalopathy, Fornix
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