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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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