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Research ArticlePediatrics

A Closer Investigation of the Synchronous Bilateral Pattern of MRI Lesions in Acute Necrotizing Encephalopathy Type 1

A. Horváthy-Szőcs, Z. Liptai, S. Dobner, G. Rudas and P. Barsi
American Journal of Neuroradiology December 2021, 42 (12) 2251-2253; DOI: https://doi.org/10.3174/ajnr.A7305
A. Horváthy-Szőcs
aFrom the Department of Neuroradiology (A.H.-S., G.R., P.B.), Medical Imaging Centre
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Z. Liptai
bSecond Department of Pediatrics (Z.L., S.D.), Semmelweis University, Budapest, Hungary
cDepartment of Pediatric Infectology (Z.L., S.D.), St. Laszlo Hospital, Budapest, Hungary
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S. Dobner
bSecond Department of Pediatrics (Z.L., S.D.), Semmelweis University, Budapest, Hungary
cDepartment of Pediatric Infectology (Z.L., S.D.), St. Laszlo Hospital, Budapest, Hungary
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G. Rudas
aFrom the Department of Neuroradiology (A.H.-S., G.R., P.B.), Medical Imaging Centre
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P. Barsi
aFrom the Department of Neuroradiology (A.H.-S., G.R., P.B.), Medical Imaging Centre
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    FIG 1.

    Axial DWI shows symmetric diffusion restriction in the amygdalae (A), at the anterior aspect of parahippocampal gyri, in the mammillary bodies (B), in the lateral geniculate bodies (B and C) and claustra (C). The 3D FLAIR images show the necrotic, lacunar lesions of specifically targeted, tiny structures, the lateral geniculate bodies (D), amygdala (E), and the necrotic atrophy of mammillary bodies (F).

  • FIG 2.
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    FIG 2.

    Axial T2WI shows chronic thalamic lesions, identified by necrosis in the ventromedial (short arrow), dorsolateral (long arrow), and dorsomedial (double arrow) nuclei (A). The axial T2WI (B) and DWI (C) show typical lateral pontine manifestations with diffusion restriction and T2-hyperintensity during the acute phase. The axial DWI (D) and SWI (E) show medial pontine manifestations with diffusion restriction and petechial hemorrhage (heart-shaped lesion).

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American Journal of Neuroradiology: 42 (12)
American Journal of Neuroradiology
Vol. 42, Issue 12
1 Dec 2021
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Cite this article
A. Horváthy-Szőcs, Z. Liptai, S. Dobner, G. Rudas, P. Barsi
A Closer Investigation of the Synchronous Bilateral Pattern of MRI Lesions in Acute Necrotizing Encephalopathy Type 1
American Journal of Neuroradiology Dec 2021, 42 (12) 2251-2253; DOI: 10.3174/ajnr.A7305

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A Closer Investigation of the Synchronous Bilateral Pattern of MRI Lesions in Acute Necrotizing Encephalopathy Type 1
A. Horváthy-Szőcs, Z. Liptai, S. Dobner, G. Rudas, P. Barsi
American Journal of Neuroradiology Dec 2021, 42 (12) 2251-2253; DOI: 10.3174/ajnr.A7305
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