A transient lesion in splenium of the corpus callosum in a patient with childhood-onset anorexia nervosa.
OBJECTIVE
Although a transient lesion in the splenium of the corpus callosum (SCC) has been reported predominantly regarding patients with epilepsia, it is of rare occurrence, and its underlying biological basis remains unknown. This is a report of an SCC lesion in a patient with anorexia nervosa (AN).


METHODS
The patient was a 15-year-old girl with childhood-onset (11 years) and a protracted course of AN. On admission, the patient showed no apparent neurological abnormalities. Magnetic resonance imaging (MRI) scans revealed a circumscribed lesion in the SCC. We treated her with nutritional rehabilitation supplemented with B vitamins.


RESULTS
One month later, the lesion completely disappeared, but her weight was not restored.


CONCLUSIONS
Treatment with B-vitamin supplementation may be beneficial for the treatment of patients with AN, in cases in which the disorder develops at an early age before brain maturation (i.e., childhood-onset cases), along with an enduring course of malnutrition.
Nishimura
Katsuhiko
K
Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Takei
Nori
N
Suzuki
Katsuaki
K
Kawai
Masayoshi
M
Sekine
Yoshimoto
Y
Isoda
Haruo
H
Mori
Norio
N
D000293:Adolescent; D017668:Age of Onset; D000856:Anorexia Nervosa / Q000188:drug therapy / Q000209:etiology*; D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D003337:Corpus Callosum; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D044342:Malnutrition; D014803:Vitamin B Complex / Q000627:therapeutic use
D014803:Vitamin B Complex