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KMID : 1201420150080020118
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Journal of Neurocritical Care
2015 Volume.8 No. 2 p.118 ~ p.121
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Mild Encephalitis with a Reversible Splenial Lesion (MERS) Accompanied by Myelitis: A Case Report
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Lee Ju-Young
Lee Min-Woo
Lee Chae-Young
Yoo Jin-Hyuk
Bae Jong-Seok
Song Hong-Ki
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Abstract
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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.
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KEYWORD
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Encephalitis, Myelitis, Corpus callosum, Urinary retention, Ataxia of gait
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