RT Journal Article
SR Electronic
T1 Influenza A Encephalopathy, Cerebral Vasculopathy, and Posterior Reversible Encephalopathy Syndrome: Combined Occurrence in a 3-Year-Old Child
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1443
OP 1446
DO 10.3174/ajnr.A1903
VO 31
IS 8
A1 Bartynski, W.S.
A1 Upadhyaya, A.R.
A1 Petropoulou, K.A.
A1 Boardman, J.F.
YR 2010
UL http://www.ajnr.org/content/31/8/1443.abstract
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