Novel influenza A (H1N1)-associated encephalopathy/encephalitis with severe neurological sequelae and unique image features--a case report.
Since the outbreak of novel influenza A (H1N1) in 2009, various neurological complications have been cited. We described a male patient with H1N1-associated encephalopathy/encephalitis presenting with severe neurological symptoms and signs. Residual neurological sequelae were dominant. This is the first report of extensive cortical-subcortical necroses over the bilateral frontal-parietal areas based on an MRI study.
Chen
Ying-Chu
YC
Department of Neurology/Neuro-Medical Scientific Center, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan.
Lo
Chung-Ping
CP
Chang
Tzu-Pu
TP
D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D004569:Electroencephalography; D004660:Encephalitis / Q000209:etiology / Q000473:pathology*; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications / Q000473:pathology*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D009127:Muscle Rigidity / Q000209:etiology; D009422:Nervous System Diseases / Q000209:etiology; D053139:Oseltamivir / Q000627:therapeutic use; D015742:Propofol / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014202:Tremor / Q000188:drug therapy / Q000209:etiology
D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D006993:Hypnotics and Sedatives; D053139:Oseltamivir; D000212:Acyclovir; D015742:Propofol