Acute necrotizing encephalopathy with onset of youth: a case report
10.3760/cma.j.issn.1006-7876.2019.02.008
- VernacularTitle:青年起病的急性坏死性脑病一例
- Author:
Bo YANG
1
;
Li TIAN
;
Jing ZANG
;
Lili SHI
;
Hong YUE
;
Fanbin KONG
;
Jiaping ZHENG
Author Information
1. 山东省日照市人民医院神经内科 276800
- Keywords:
Acute necrotizing encephalopathy;
Adolescent;
Epilepsy;
Consciousness disorders
- From:
Chinese Journal of Neurology
2019;52(2):123-126
- CountryChina
- Language:Chinese
-
Abstract:
A young female patient with acute necrotizing encephalopathy (ANE) is reported,who aged 15 years,with a history of upper respiratory tract infection,main clinical manifestations of seizures and consciousness disorders,and brain MRI examination showing characteristic symmetrical bilateral abnormal signals at both thalamic area,pons,and cerebellar hemisphere.Imaging changes corresponded to pathophysiological changes.The initial manifestations were found to be brain swelling and edema.In the acute phase,hemorrhage and necrosis of the affected brain tissues were observed.The recovery period was characterized by hemosiderin deposition and cystic space formation,which was consistent with ANE diagnosis.By early use of high-dose gammaglobulin and methylprednisolone,the prognosis of the patient was good,proving that immunosuppressive therapy by corticosteroids and gammaglobulin is effective for ANE.
