Radiographic evolution in case of acute necrotizing encephal
The present case has been reported in the journal Neurology. A healthy 37-year-old woman developed delirium and was comatose on admission after a 3-day history of chills, fever, and myalgias.

Neuroimaging showed lesions affecting bilateral thalami and pons and normal venous sinuses. Laboratory tests detected elevated serum aminotransferases, increased CSF protein, and no specific virus.

She gradually recovered consciousness in 4 days, maintained left-sided 1/5 plegia and slurred speech, and was discharged 28 days later (NIH Stroke Scale score 2).