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[Acute infantile bilateral striatal necrosis]
M de L Torre1, E Calado, A Macedo
1Unidade de Cuidados Intensivos Pediátricos, Hospital de Dona Estefânia, Lisboa.
Acta Medica Portuguesa
|February 1, 1997
Summary
This case study details a child with tetraparesis and acute encephalopathy following infection. Diagnosis was acute bilateral infant striatal necrosis, indicated by brain imaging showing symmetrical necrosis of brain nuclei.
Area of Science:
- Pediatric Neurology
- Neuroimaging
- Infectious Diseases
Background:
- Infectious diseases can trigger neurological complications in children.
- Acute encephalopathy presents a diagnostic challenge in pediatric neurology.
Observation:
- A nine-year-old child presented with tetraparesis and acute encephalopathy post-infection.
- Brain MRI revealed symmetrical bilateral necrosis of basal ganglia nuclei.
Findings:
- The clinical presentation and neuroimaging findings confirmed acute bilateral infant striatal necrosis (ABISN).
- ABISN is a rare but severe neurological sequela of infections.
Implications:
- This case highlights the importance of neuroimaging in diagnosing rare neurological conditions in children.
- Understanding ABISN is crucial for timely diagnosis and management of post-infectious encephalopathies.