양측 시상, 피개를 침범한 후 운동 장애를 남긴 영아 2례

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

저자들은 출생 후 정상 발달을 보였고 경련의 과거력이 없었던 각 5개월과 11개월된 영아들에서 발생한 양측 시상, 피개를 침범한 급성 뇌병증 후 운동장애를 남긴 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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.