Dangi Sachin, Gwasikoti Namita
Department of Paediatrics, Pt. Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
J Pediatr Neurosci. 2020 Jan-Mar;15(1):54-56. doi: 10.4103/JPN.JPN_117_19. Epub 2020 Mar 18.
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.
急性坏死性脑病（ANEC）是一种快速进展的神经系统疾病，发生于儿童感染甲型流感和单纯疱疹病毒等常见病毒之后。在亚洲国家更为常见。ANEC的磁共振成像表现包括对称性脑病变，双侧丘脑受累更为明显。然而，在大脑深静脉血栓形成中也可观察到类似的神经影像学表现，这可能导致误诊。我们报告一例2岁半儿童，其临床表现类似急性坏死性脑病，但进一步检查发现患有大脑深静脉血栓形成。
