A Case of Acute Encephalopathy with Thalamotegmental Involvement.

Kim,  Joon Sik; Lee,  Sang Lak; Lee,  Hee Jung

Case Report

Journal of the Korean Child Neurology Society 2001;9(2):402-406.
Published online October 30, 2001.

A Case of Acute Encephalopathy with Thalamotegmental Involvement.

Joon Sik Kim, Sang Lak Lee, Hee Jung Lee

¹Department of Pediatrics, Keimyung University, Dongsan Medical Center, Daegu, Korea.
²Department of Radiology, Keimyung University, Dongsan Medical Center, Daegu, Korea.

Abstract

Acute encephalopathy with thalamotegmental involvement is characterized by the rapid evolution of stupor and coma, associated with generalized seizures and decorticate or decerebrate rigidity without focal neurologic or meningeal irritation signs. The magnetic resonance findings in a 6-year-old patient with neurologic abnormalities demonstrate bilateral symmetrical high signal intensity lesions involving both the thalami and the tectum in axial T2-weighted image. We report a case of acute encephalopathy with thalamotegmental involvement.

Key Words: Acute Encephalopathy, Thalamotegmentum