Adult mild encephalitis with reversible splenial lesion and catatonia: A case report

Mehdi Karoui; Emna Bouhlel; Ons Maatouk; Emna Labbene; Dina Ben Mohamed; Mouna Bouaziz

doi:10.1016/j.heliyon.2022.e10257

Adult mild encephalitis with reversible splenial lesion and catatonia: A case report

Heliyon. 2022 Aug 17;8(8):e10257. doi: 10.1016/j.heliyon.2022.e10257. eCollection 2022 Aug.

Authors

Mehdi Karoui^{1

2}, Emna Bouhlel^{1

3}, Ons Maatouk^{1

2}, Emna Labbene^{1

3}, Dina Ben Mohamed^{1

4}, Mouna Bouaziz^{1

3}

Affiliations

¹ Université de Tunis El Manar, Faculté de Médecine de Tunis, 1007, Tunis, Tunisia.
² Hôpital Razi, Service de Psychiatrie "G", Tunisia.
³ Institut Kassab, Service de Radiologie, Tunisia.
⁴ Institut Mongi Ben HAmida, Service de Neurologie, Tunisia.

Abstract

The relationship between corpus callosum and schizophrenia is elusive. Neuropsychiatric symptoms in Mild encephalitis with reversible splenial lesion (MERS) such as delirium, and negativism, suggest a link between corpus callosum and psychiatric disturbances. Here in, we report catatonia as an initial symptom of MERS in a schizophrenic patient. The aim of this study is to discuss the likely causal relationship between catatonic syndrome and MERS. To the best of our knowledge, the catatonia was not reported before as a prodromal symptom of MERS. We therefore report this case in order to enlarge the spectrum of MERS symptoms in psychiatric patients and discuss the relationship between catatonia and splenium lesions.

Keywords: Catatonia; Magnetic resonance imaging; Mild encephalitis; Reversible splenial lesion.

Publication types

Case Reports