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A novel swine-origin influenza A (H1N1) virus was recently identified in Mexico. Some cases of infection with neurological complications have been reported to date. We report a case of acute necrotizing encephalopathy associated with the novel H1N1 virus in a 2-year-old European girl who suddenly developed fever, seizures, and altered mental status. Brain and spinal cord magnetic resonance imaging showed bilateral symmetrical lesions of the insulae, thalami, geniculate bodies, and pons tegmentum suggestive of an acute necrotizing encephalopathy. An involvement of meninges and spinal cord was observed configuring an acute necrotizing meningoencephalomyelitis. |
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acute necrotizing encephalitis
brainstem,lesion of
children
encephalitis
encephalitis,viral
fever
H1N1 influenza
insular cortex
level of consciousness,decreased
meningoencephalitis
MRI,abnormal
MRI,spinal cord
seizure
spinal cord,lesion of
symmetric brain lesions
thalamus,lesion of
thalamus,lesion of-bilateral
viral infection
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