case_images: PMC5918627_01
case_images: Brain magnetic resonance imaging revealed symmetrical lesions of cerebellum (left, diffusion-weighted imaging; center, apparent diffusion coefficient-map; right, fluid-attenuated inversion recovery) at diagnosis (A), 7 hours (B), and 28 days (C) after the onset of acute necrotizing encephalopathy.
case_images: tcrm-14-753Fig1.jpg
case_images: PMC5918627_01_tcrm-14-753Fig1.jpg
case_images: f1-tcrm-14-753
case_images: Brain MRI revealed symmetrical lesions in the cerebellum (Figure 1A) and basal nucleus, showing typical acute necrotizing encephalopathy. Although he did not manifest a convulsion, his state of consciousness deteriorated 7 hours after the first MRI, which was consistent with the worsening MRI findings at that time (Figure 1B). The treatment led to almost complete recovery, with slight disruption in daily life, and improved MRI findings 28 days after disease onset (Figure 1C).