KMID : 0361420120360040551
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Journal of Korean Academy of Rehabilitation Medicine 2012 Volume.36 No. 4 p.551 ~ p.555
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Fornix Injury in a Patient with Rotavirus Encephalopathy: Diffusion Tensor Tractography Study
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Son Su-Min
Jang Sung-Ho Lee Eun-Sil Ahn Sang-Ho Lee Dong-Gyu Cho Hee-Kyung
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Abstract
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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.
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KEYWORD
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Diffusion tensor tractography, Rotavirus encephalopathy, Fornix
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