Isolated splenial lesion in the corpus callosum in combination with urinary retention in a case of aseptic meningoencephalitis

Manmeet Saluja,Nicole Mcgrath

doi:10.5348/ijcri-2011-11-64-cr-2

Abstract

Aseptic meningoencephalitis in rare instances can present radiologically as a reversible isolated splenial lesion in corpus callosum (Reversible Splenial Lesion Syndrome or RSLS). Patients rarely develop temporary urinary retention, previously described as the meningitis-retention syndrome. We report a case report of a 28-year-old woman with aseptic meningoencephalitis with an unusual combination of RSLS and urinary retention. A complete resolution of neurological symptoms and urinary retention was noted within two months. In cases of aseptic meningoencephalitis, RSLS and urinary retention are good prognostic factors and are associated with complete recovery.

Highlights

Aseptic meningoencephalitis in rare instances can present radiologically as a reversible isolated splenial lesion in corpus callosum (Reversible Splenial LesionSyndrome or Reversible Splenial Lesion Syndrome (RSLS))
Aseptic meningoencephalitis can rarely present with a solitary lesion in the centre of the splenium of the corpus callosum (RSLS)
Acute urinary retention develops in rare cases of meningo encephalitis and has been previously described as the meningitisretention syndrome [4, 5]

Summary

INTRODUCTION

Aseptic meningoencephalitis can rarely present with a solitary lesion in the centre of the splenium of the corpus callosum (RSLS). Acute urinary retention develops in rare cases of meningo encephalitis and has been previously described as the meningitisretention syndrome [4, 5]. A 28yearold female presented with high grade fever (38.9 °C), bifrontal headache and urinary retention three weeks post partum. She had associated night sweats, rigors and a cough productive of yellow sputum. There was increased tone in the legs with moderate pyramidal weakness and reduced rapid alternating movements of the feet She was unable to stand due to severe ataxia. Urinary retention was managed conservatively by catheterisation and resolved completely within the two months along with her neurological symptoms.

DISCUSSION

Retention as an Initial Symptom of Acute