Transient Lesion of the Splenium of the Corpus Callosum after Acute Ischemic Stroke

Intern Med. 2019 Apr 1;58(7):1011-1015. doi: 10.2169/internalmedicine.1010-18. Epub 2018 Nov 19.

Abstract

Two patients who showed transient lesions in the splenium of the corpus callosum (SCC) secondary to acute ischemic stroke are reported. Both patients had embolic strokes and showed an isolated lesion in the SCC on magnetic resonance imaging (MRI) 1-2 weeks after the onset of stroke, with a hyperintense lesion on diffusion-weighted imaging and decreased apparent diffusion coefficient values, with no symptoms related to the lesion. In both cases, the lesion disappeared on MRI approximately 1 week later. Clinicians should note that transient SCC lesions can occur following acute ischemic stroke and avoid misdiagnosing them and performing unnecessary examinations or treatment.

Keywords: acute ischemic stroke; magnetic resonance imaging; mild encephalitis/encephalopathy with a reversible splenial lesion; splenium of the corpus callosum; transient lesion in the splenium of the corpus callosum.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Aged, 80 and over
  • Brain Ischemia / complications*
  • Brain Ischemia / diagnosis
  • Corpus Callosum / diagnostic imaging*
  • Diffusion Magnetic Resonance Imaging
  • Encephalitis / diagnosis*
  • Encephalitis / etiology
  • Female
  • Humans
  • Male