Thalamotegmental tract 침범을 보이는 급성 뇌염 1례

A Case of Acute Encephalitis with Thalamotegmental Involvement

저자들은 내원 3일전부터 상기도 감염증세가 있던 중 전신적 강직성 경련과 의식변화를 보이며 뇌자기공명 촬영상 시상피개 영역에 이상소견을 보이는 급성뇌염 1례를 치험하였기에 보고하는 바이다.

Acute Encephalitis with thalamotegmental Involvement in infants and children was reported on Japan, 1995. This encephalitis was preceded for several days by fever and symptoms of upper respiratory infection. These symptoms were followed by the rapid evolution of stupor and coma, associated with generalized seizures and decorticated and decerebrate rigidity without focal neurologic or meningeal sings. The prognosis was generally poor. We have experienced a case of acute encephalitis; the child had three days of fever before the hospitalization and convulsion and deteriorated mental change into a semicomatous state had developed. The patient was diagnosed as acute encephalitis with thalamotegmental involvement by magnetic resonance imaging.