A case of deep cerebral venous thrombosis presenting like acute necrotizing encephalopathy

Acute necrotizing encephalopathy (ANEC) is a rapidly progressive neurologic disorder that occurs in children after common viral infections such as influenza A and herpes simplex virus. It is observed more commonly in Asian countries. Magnetic resonance imaging findings in ANEC include symmetrical br...

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Bibliographic Details
Published in:Journal of pediatric neurosciences 2020-01, Vol.15 (1), p.54-56
Main Authors: Dangi, Sachin, Gwasikoti, Namita
Format: Article
Language:English
Subjects:
Brain damage
Brain research
Case Report
Diagnosis
Diagnostic errors
Diagnostic imaging
Edema
Encephalitis
Encephalopathy
Herpes simplex
Herpes simplex virus
Herpesvirus infections
Infection
Influenza
Levetiracetam
Magnetic resonance imaging
Medical imaging
Nervous system diseases
Sinuses
Thrombophlebitis
Thrombosis
Veins & arteries
Viral infections
Virus diseases
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Description
Summary:Acute necrotizing encephalopathy (ANEC) is a rapidly progressive neurologic disorder that occurs in children after common viral infections such as influenza A and herpes simplex virus. It is observed more commonly in Asian countries. Magnetic resonance imaging findings in ANEC include symmetrical brain lesions, preferentially affecting the thalamus bilaterally. However, similar neuroimaging findings are also observed in deep cerebral vein thrombosis, which can lead to misdiagnosis. We report a case of 2½-year-old child who presented like acute necrotizing encephalopathy but on further investigations was found to be having deep cerebral vein thrombosis.
ISSN:1817-1745
1998-3948
DOI:10.4103/jpn.JPN_117_19