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Bright splenium of a psychotic mind

2014; Medknow; Volume: 18; Issue: 1 Linguagem: Inglês

10.4103/0972-2327.145287

1998-3549

ShankarC Udaya, BhumirN Chauhan, VivekJ Philip,

Alcoholism and Thiamine Deficiency

A twenty-one-year old primigravida presented two weeks postpartum with new onset of behavioral alteration and irrelevant talking without fever, headache, or seizures. Magnetic resonance imaging (MRI) of brain showed a lesion with diffusion restriction in splenium of corpus callosum. A possibility of postpartum psychosis was considered after ruling out various etiologies for splenium hyperintense lesion. Near complete resolution of symptoms was noted after initiation of antipsychotic medications. Literature has described multiple etiologies for lesions involving splenium of corpus callosum on brain imaging. We present this case as a unique clinical presentation of splenial pathology in the form of postpartum psychosis.