Two Cases of Acute Encephalopathy with Thalamotegmental Involvement and Remained Motor Dysfunction in Infants.

Koo,  Hyun Hoe; Kim,  Won Seop; Cha,  Sang Hun

Case Report

Journal of the Korean Child Neurology Society 2001;9(2):407-410.
Published online October 30, 2001.

Two Cases of Acute Encephalopathy with Thalamotegmental Involvement and Remained Motor Dysfunction in Infants.

Hyun Hoe Koo, Won Seop Kim, Sang Hun Cha

¹Department of Pediatrics, College of Medicine, Chung Buk National University, Chungju, Korea.
²Department of Radiology, College of Medicine, Chung Buk National University, Chungju, Korea.

Abstract

Acute encephalopathy with thalamotegmental involvement occurs in infants and young children and is thought to be a postviral or postinfectious brain disease. This disease is preceded for several days by fever and symptoms of upper respiratory infection. The symptoms are followed by the rapid evolution of stupor and coma, associated with generalized seizures and decerebrate rigidity. In this disease, the computed tomography (CT) or brain magnetic resonance imaging demonstrate symmetrical focal lesions in the thalami and brainstem tegmentum. We report two cases of acute encephalopathy with thalamotegmental involvement and remaining motor dysfunction in infants.

Key Words: Acute encephalopathy, Thalamotegmental involvement