Acute necrotizing encephalopathy in an infant: A case report

Document Type

Case Report

Department

Medical College (East Africa); Paediatrics and Child Health (East Africa)

Abstract

Acute necrotizing encephalopathy is a rare, severe neurological condition, characterized by symmetrical necrotic brain lesions affecting the thalamus, cerebral white matter, brain stem, and cerebellum. Diagnosis relies on characteristic clinical and radiological features. We describe a 10-month-old female infant presenting with multiple seizures following a brief febrile upper respiratory illness. MRI of the brain showed bilateral symmetrical abnormal signal intensities involving both thalami and caudate nucleus, consistent with ANE. Management of ANE is symptom-related but high-dose steroids and IVIG have been used. This case highlights the importance of recognizing ANE beyond its usual geographic distribution. Early recognition and prompt management help improve outcomes

Publication (Name of Journal)

Radiology Case Reports

DOI

https://doi.org/10.1016/j.radcr.2024.09.149

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