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Long-Term Findings on Brain Magnetic Resonance Imaging in Acute Encephalopathy With Bilateral Striatal Necrosis Associated With Measles

Department of Neurology "P & A Kyriakou" Children's Hospital Athens, Greece, kvoudris{at}otenet.gr

Angeliki Skardoutsou, MD

Second Department of Paediatrics University of Athens "P & A Kyriakou" Children's Hospital Athens, Greece

Maria Hasiotou, MD

Department of Radiology "Ag. Sophia" Children's Hospital Athens, Greece

Basilis Theodoropoulos, MD

Department of Radiology "Ag. Sophia" Children's Hospital Athens, Greece

Eleni A. Vagiakou, MD

Department of Microbiology "G. Genimatas" General Hospital Athens, Greece

The long-term findings on brain magnetic resonance imaging (MRI) in a 7¹0/12-year-old boy with a history of acute encephalopathy with bilateral striatal necrosis following measles at the age of 22 months are described. At the early stage of illness, brain MRI studies revealed bilateral, symmetric basal ganglia lesions, predominant on the globi pallidi, appearing as hyperintense signals on T₁- and T₂-weighted images. Six years later, follow-up brain MRI studies showed that the bilateral, symmetric lesions on the globi pallidi persisted with low signal on T₁- and high signal on T ₂weighted images. At present, the patient has some persistent neurologic signs. These findings suggest that both clinical and neuroradiologic findings may persist in children with acute encephalopathy with bilateral striatal necrosis following measles. (J Child Neurol 2002;17:776—777).

Journal of Child Neurology, Vol. 17, No. 10, 776-777 (2002)
DOI: 10.1177/08830738020170101804


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