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Teaching NeuroImages: Acute necrotizing encephalopathy of childhood

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A 10-month-old infant was brought to the hospital in status epilepticus, preceded by a 2-day history of fever and loose stools. Brain MRI revealed swelling and T2 hyperintensity involving the… Click to show full abstract

A 10-month-old infant was brought to the hospital in status epilepticus, preceded by a 2-day history of fever and loose stools. Brain MRI revealed swelling and T2 hyperintensity involving the thalami, white matter, and dorsal brainstem (figure 1). The thalamic lesions showed a trilaminar appearance on the diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) images, with hemorrhagic foci on susceptibility-weighted imaging (figures 1 and 2).

Keywords: necrotizing encephalopathy; neuroimages acute; acute necrotizing; encephalopathy childhood; teaching neuroimages

Journal Title: Neurology
Year Published: 2018

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