{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:40:01Z","timestamp":1745757601560,"version":"3.40.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,8]]},"abstract":"<jats:p>We report a case of mild encephalopathy with a reversible splenial lesion (MERS) which occurred after chronic subdural haematoma (CSDH) surgery. The patient was admitted to our hospital for drowsiness and marked asthenia. The cerebral CT scan revealed a CSDH and surgery allowed to improve the symptoms, but after several days we observed a sudden worsening. The patient developed left-sided myoclonic seizures followed by left hemiplegia and worsening drowsiness. Electrolytes imbalance and inflammatory causes were excluded. The CT scan showed a right cerebral swelling and the subsequent MRI revealed a single lesion in the splenium of the corpus callosum, hyperintense on diffusion-weighted images. After osmotic therapy the patient improved and on day 10 of admission the MRI showed a complete resolution of the lesion. This is the first report that described an association between CSDH and MERS. Possible aetiopathogenetic mechanisms are discussed.<\/jats:p>","DOI":"10.1136\/bcr-2013-203278","type":"journal-article","created":{"date-parts":[[2014,5,26]],"date-time":"2014-05-26T09:38:36Z","timestamp":1401097116000},"page":"bcr2013203278","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Sudden worsening after subdural haematoma surgery: will there be a corpus callosum injury?"],"prefix":"10.1136","volume":"2014","author":[{"given":"Pier Paolo","family":"Panciani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Roca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Lodoli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco Maria","family":"Fontanella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,26]]},"reference":[{"key":"2025042705250326000_2014.may26_1.bcr2013203278.1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.50.1118"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2009.12.004"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2012.10.003"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.4","doi-asserted-by":"publisher","DOI":"10.4103\/0976-3147.118760"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2010.02.013"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2008.04.002"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2011.04.004"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.8","unstructured":"Kometani H Kawatani M Ohta G . Marked elevation of interleukin-6 in mild encephalopathy with a reversible splenial lesion (MERS) associated with acute focal bacterial nephritis caused by Enterococcus faecalis. Brain Dev 2013:S0387\u20137604(13)00233\u20137."},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.22.1920"},{"key":"2025042705250326000_2014.may26_1.bcr2013203278.10","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1038\/sj.jcbfm.9600404","article-title":"Magnetic resonance imaging evidence of cytotoxic cerebral edema in acute mountain sickness","volume":"27","author":"Kallenberg","year":"2007","journal-title":"J Cereb Blood Flow Metab"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-203278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:25:14Z","timestamp":1745756714000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-203278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,26]]},"references-count":10,"alternative-id":["10.1136\/bcr-2013-203278"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-203278","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,5,26]]}}}