Abstract

Bilateral striatal necrosis associated with enterovirus infection.

Highlights

  • A 20-year-old man was admitted to the hospital due to hypotonia, dystonic movements, and dysarthria

  • The patient’s symptoms began and had been progressing since the age of 5, when he experienced an episode of enteroviral encephalitis

  • Brain magnetic resonance imaging showed bilateral volume loss, and Corresponding author: Edson Marchiori. e-mail: edmarchiori@gmail.com https://orcid.org/0000-0001-8797-7380 Received 3 February 2021 Accepted 17 March 2021 high signal intensity of the caudate nuclei and putamina on a fluid attenuation inversion recovery sequence, with no enhancement after contrast injection (Figure 1). Given his clinical history of viral encephalitis associated with progressive neurological symptoms and imaging findings, enterovirus-associated bilateral striatal necrosis (BSN) was the most likely diagnosis

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Summary

Introduction

A 20-year-old man was admitted to the hospital due to hypotonia, dystonic movements, and dysarthria. The patient’s symptoms began and had been progressing since the age of 5, when he experienced an episode of enteroviral encephalitis. The patient’s family history included no relevant information. Biochemistry, and cerebrospinal fluid at the time of admission were unremarkable.

Results
Conclusion

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