PT - JOURNAL ARTICLE AU - Bartynski, W.S. AU - Upadhyaya, A.R. AU - Petropoulou, K.A. AU - Boardman, J.F. TI - Influenza A Encephalopathy, Cerebral Vasculopathy, and Posterior Reversible Encephalopathy Syndrome: Combined Occurrence in a 3-Year-Old Child AID - 10.3174/ajnr.A1903 DP - 2010 Sep 01 TA - American Journal of Neuroradiology PG - 1443--1446 VI - 31 IP - 8 4099 - http://www.ajnr.org/content/31/8/1443.short 4100 - http://www.ajnr.org/content/31/8/1443.full SO - Am. J. Neuroradiol.2010 Sep 01; 31 AB - SUMMARY: Encephalopathy is an uncommon complication of childhood influenza infection, typically recognized during influenza epidemics. Imaging hallmarks include characteristic thalamic lesions, thalamic necrosis and hemispheric edema. We describe a child with acute influenza A associated necrotizing encephalopathy with MR angiographic evidence of significant cerebral vasculopathy and a hemispheric edema pattern consistent with PRES. This case reinforces that significant cerebral vasculopathy can accompany influenza infection and that influenza is a likely trigger for PRES. ADEMacute disseminated encephalomyelitisANEacute necrotizing encephalopathyMIPmaximum intensity projectionPCAposterior cerebral arteryPCRpolymerase chain reactionPRESposterior reversible encephalopathy syndromeRBCred blood cell countTNFtumor necrosis factorWBCwhite blood cell count