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KMID : 0391520030110020351
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Journal of the Korean Child Neurology Society
2003 Volume.11 No. 2 p.351 ~ p.355
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A Case of Relapsing Acute Necrotizing Encephalopathy
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Yoon Jong-Seo
Kim Jin-Tack
Park So-Hyun
Kim Dong-Un
Jang Pil-Sang
Whang Kyung-Tai
Kim Young-Hoon
Lee Jin
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Abstract
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A 4-year-old boy showed two episodes of encephalitis/encephalopathy involving disturbed consciousness, convulsion, and paresis associated with the elevated levels of protein and no pleocytosis of the cerebrospinal fluid. MRI studies of the brain revealed symmetrical lesions in the brain stem and thalamus at the first episode, and their sizes were regressed. The lesions were enlarged to the previous size in the second episode. These episodes were not followed by an elevation of the anti-viral antibody titer. In the second episode, intravenous methylprednisolone therapy and intravenous immunoglobulin therapy were introduced.
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KEYWORD
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Acute necrotizing encephalopathy, Relapsing
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