Shian W J, Chi C S
Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, Republic of China.
Pediatr Radiol. 1994;24(8):596-7. doi: 10.1007/BF02012744.
An 8-month-old male infant, previously well, developed acute changes of consciousness associated with high fever, vomiting, and respiratory failure. Brain CT showed hypodensity of the brainstem, which had shown hyperechogenicity on brain ultrasonography. Brainstem encephalitis caused by Epstein-Barr virus (EBV) was diagnosed, based on the clinical presentation, neuroimaging and paired serological examinations. The patient expired eventually due to central failure. We suggest that EBV infection should be a differential diagnosis in cases of brainstem encephalitis.
一名8个月大的男婴，此前身体健康，出现了与高热、呕吐和呼吸衰竭相关的急性意识改变。脑部CT显示脑干低密度影，而脑部超声检查显示脑干回声增强。根据临床表现、神经影像学检查和配对血清学检查，诊断为EB病毒（EBV）引起的脑干脑炎。该患者最终因中枢性衰竭死亡。我们建议，在脑干脑炎病例中，EBV感染应作为鉴别诊断之一。
