SavedAdd your journal

Journals / Turkish Journal of Pediatrics / 2020 / Cilt: 62 - Sayı: 2

Acute necrotizing encephalopathy with organic psychosis: a pediatric case report

Leman Tekin ORGUN
Ebru Petek ARHAN
Kürşad AYDIN
Yasemin TAŞ TORUN
ESRA GÜNEY
Ayşe SERDAROĞLU
Pages
320–325
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Early recognition and appropriate treatment of ANE is important to obtain favorable outcomes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Enteroviruses-associated acute necrotizing encephalopathy (ANE) of childhood is rarely reported in the literature.
📊
Key Findings & Data:Clinico-radiological features of ANE are well-recognized and bilateral thalamic nuclei are frequently affected by ANE.
💡
Conclusion & Impact:Early recognition and appropriate treatment of ANE is important to obtain favorable outcomes.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Background. Enteroviruses-associated acute necrotizing encephalopathy (ANE) of childhood is rarely reported in the literature. Clinico-radiological features of ANE are well-recognized and bilateral thalamic nuclei are frequently affected by ANE. Neuropsychiatric symptoms are rarely seen. Thalamic damage can cause psychosis. Case. Herein, we present a pediatric case of enterovirus-associated ANE presenting with psychosis related to thalamus damage in whom a favorable response to treatment was achieved. Conclusion. Thalamic damage occurs during the Enteroviruses-associated acute necrotizing encephalopathy and it can be related psychiatric sympthoms. Clinicians should be aware of uncommon presentations of ANE, and patients with thalamic damage should be followed for neuropsychiatric manifestations. Early recognition and appropriate treatment of ANE is important to obtain favorable outcomes.

🔖

Cite This Article

ORGUN, L. T., ARHAN, E. P., AYDIN, K., TORUN, Y. T., GÜNEY, E., SERDAROĞLU, A. (2020). Acute necrotizing encephalopathy with organic psychosis: a pediatric case report. Turkish Journal of Pediatrics, Cilt: 62 - Sayı: 2, 320–325. https://ajindex.com/articles/411867

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Tabarki B, Thabet F, Al Shafi S, Al Adwani N, Chehab M, Al Shahwan S. Acute necrotizing encephalopathy associated with enterovirus infection. Brain Dev 2013; 35: 454-457
  2. Mizuguchi M. Acute necrotizing encephalopathy of childhood: a novel form of acute encephalopathy prevalent in Japan and Taiwan. Brain Dev 1997; 19: 81-92
  3. Wu X, Wu W, Pan W, Wu L, Liu K, Zhang HL. Acute necrotizing encephalopathy: an underrecognized clinicoradiologic disorder. Mediators Inflamm 2015; 2015: 792578
  4. Voudris KA, Skaardoutsou A, Haronitis I, Vagiakou EA, Zeis PM. Brain MRI findings in influenza A-associated acute necrotizing encephalopathy of childhood. Eur J Paediatr Neurol 2001; 5: 199-202
  5. De Witte L, Brouns R, Kavadias D, Engelborghs S, De Deyn PP, Marien P. Cognitive, affective and behavioural disturbances following vascular thalamic lesions: a review. Cortex 2011; 47: 273-319
  6. Partlow GD, del Carpio-O'Donovan R, Melanson D, Peters TM. Bilateral thalamic glioma: review of eight cases with personality change and mental deterioration. AJNR Am J Neuroradiol 1992; 13: 1225-1230
  7. Okumura A, Mizuguchi M, Aiba H, Tanabe T, Tsuji T, Ohno A. Delirious behavior in children with acute necrotizing encephalopathy. Brain Dev 2009; 31: 594-599
  8. Glaser CA, Bloch KC. Encephalitis. In: Long SS, Prober CG, Fischer M (eds). Principles and Practice of Pediatric Infectious Diseases (5th ed). Philadelphia: Elsevier, 2018: 305-322
  9. Ravid S, Topper L, Eviatar L. Acute necrotizing encephalopathy presenting as a basal ganglia syndrome. J Child Neurol 2001; 16: 461-462
  10. Bradshaw MJ, Venkatesan A. Herpes simplex virus-1 encephalitis in adults: pathophysiology, diagnosis, and management. Neurotherapeutics 2016; 13: 493- 508
  11. Ooi MH, Wong SC, Lewthwaite P, Cardosa MJ, Solomon T. Clinical features, diagnosis, and management of enterovirus 71. Lancet Neurol 2010; 9: 1097-1105
  12. Fowlkes AL, Honarmand S, Glaser C, et al. Enterovirus-associated encephalitis in the California encephalitis project, 1998-2005. J Infect Dis 2008; 198: 1685-1691
  13. McGilchrist I, Goldstein LH, Jadresic D, Fenwick P. Thalamo-frontal psychosis. Br J Psychiatry 1993; 163: 113-115
  14. Schulman JJ, Cancro R, Lowe S, Lu F, Walton KD, Llinás RR. Imaging of thalamocortical dysrhythmia in neuropsychiatry. Front Hum Neurosci 2011; 5: 69
  15. Cardosa J, Farrar J, Zijian F, et al. A Guide to Clinical Management and Public Health Response for Hand, Foot and Mouth Disease (HFMD). Geneva, Switzerland: