case_images: PMC10874513_01
case_images: involvement of the basal ganglia
case_images: ijcn-18-139-g001.jpg
case_images: PMC10874513_01_ijcn-18-139-g001.jpg
case_images: F1
case_images: An intranasal PCR sample was taken to check for COVID-19, and the result was positive. According to involving the basal ganglia after the brain CT scan, an acute necrotizing encephalopathy of childhood (ANEC) diagnosis was proposed for the patient (Figure 1).
case_images: bilateral involvement of the thalamus and hypertensive and heterogeneous changes with a necrotic appearance in the T2 and T1 sections
case_images: ijcn-18-139-g002.jpg
case_images: PMC10874513_01_ijcn-18-139-g002.jpg
case_images: F2
case_images: T1 sections, ANEC was confirmed (Figure 2). The patient was treated with pulse methylprednisolone and IVIG. The patient was admitted to the PICU for five days.
case_images: Brain MRI (without and with Gd+ DWT))
case_images: ijcn-18-139-g003.jpg
case_images: PMC10874513_01_ijcn-18-139-g003.jpg
case_images: F3
case_images: This imaging revealed necrosis and calcification within the ventricle, confirming a diagnosis of ANEC and distinguishing it from ADEM (Figure 3).