Callosal lesions and delirious behavior during febrile illness

Abstract We retrospectively reviewed electroencephalography and magnetic resonance imaging findings for 21 children exhibiting delirious behavior during febrile illness. Among these, five patients had transient callosal lesions with or without white matter lesions on diffusion-weighted images. We co...

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Bibliographic Details
Published in:Brain & development (Tokyo. 1979) 2009-02, Vol.31 (2), p.158-162
Main Authors: Okumura, Akihisa, Hayakawa, Fumio, Kato, Toru, Suzuki, Motomasa, Tsuji, Takeshi, Fukumoto, Yukiko, Nakata, Tomohiko, Watanabe, Kazuyoshi, Morishima, Tsuneo
Format: Article
Language:English
Subjects:
Adolescent
Brain Diseases - pathology
Brain Diseases - physiopathology
Callosal lesion
Child
Child, Preschool
Consciousness
Corpus Callosum - pathology
Corpus Callosum - physiopathology
Delirious behavior
Delirium - pathology
Delirium - physiopathology
Diffusion Magnetic Resonance Imaging
Diffusion-weighted images
Electroencephalography
Febrile illness
Female
Fever - physiopathology
Humans
Male
Neurology
Retrospective Studies
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Summary:Abstract We retrospectively reviewed electroencephalography and magnetic resonance imaging findings for 21 children exhibiting delirious behavior during febrile illness. Among these, five patients had transient callosal lesions with or without white matter lesions on diffusion-weighted images. We compared the clinical characteristics, duration, and components of delirious behavior, the duration and severity of reduced consciousness, and EEG findings among patients with or without callosal lesions. No significant differences were detected in these items according to the presence or absence of callosal lesions. Adding insight into the pathogenesis of this condition, our study revealed that callosal lesions are not uncommon in patients exhibiting delirious behavior during febrile illness.
ISSN:0387-7604
1872-7131
DOI:10.1016/j.braindev.2008.06.002