https://scholars.lib.ntu.edu.tw/handle/123456789/514146
標題: | Acute necrotizing encephalopathy of childhood with spinal cord involvement: A case report | 作者: | WEN-CHIN WENG STEVEN SHINN-FORNG PENG WANG-TSO LEE |
公開日期: | 2010 | 卷: | 25 | 期: | 12 | 起(迄)頁: | 1539-1541 | 來源出版物: | Journal of Child Neurology | 摘要: | Acute necrotizing encephalopathy of childhood is a rare acute encephalopathy occurring after febrile illness with subsequent rapid deterioration of consciousness and convulsions. Typical brain magnetic resonance imaging (MRI) findings are symmetric involvement of the bilateral thalami, brainstem, and cerebral periventricular white matter or the cerebellum. Spinal cord involvement has never been reported. This report describes a healthy 2-year-old girl, who displayed typical clinical manifestations of acute necrotizing encephalopathy. Brain MRI demonstrated symmetrical lesions over the bilateral thalami and periventricular white matter. The clinical features and radiologic images suggested spinal cord involvement. This is the first reported case of acute necrotizing encephalopathy with spinal cord involvement. Spinal cord lesions are, therefore, possible in cases of acute necrotizing encephalopathy of childhood, and these require special attention. ? 2010 The Author(s). |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/514146 | ISSN: | 0883-0738 | DOI: | 10.1177/0883073810374877 | SDG/關鍵字: | methylprednisolone; article; case report; cerebrospinal fluid analysis; child; clinical feature; electroencephalography; female; human; laboratory test; Leigh disease; neurologic examination; nuclear magnetic resonance imaging; physical examination; preschool child; priority journal; thalamus; white matter; Age Factors; Child, Preschool; Demyelinating Autoimmune Diseases, CNS; Dysentery; Female; Humans; Leukoencephalitis, Acute Hemorrhagic; Treatment Outcome |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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