Table 1:

Clinical features of 12 patients with acute necrotizing encephalopathy of childhood

Patient No./Age/SexClinical FeaturesPositive Viral StudyOutcomeHUI:1 Outcome Category
1/1 y 4 mo/MFever, conscious disturbance, seizureInfluenza BSpasticity with decerebrate posture3
2/3 y 3 mo/MFever, conscious disturbance, seizureMycoplasmaSpasticity2
3/12 y/FFever, conscious disturbance, decerebrate posture, spasticity, urine and stool incontinenceInfluenza B, mycoplasma (possible)Spasticity, urine and stool incontinence2
4/7 mo/MConscious disturbanceN/AFully recovered1
5/10 y/MFever, conscious disturbance, seizureInfluenza ABilateral hand tremor; left-sided dystonia2
6/1 y/MFever, lower extremity rigidityN/AFully recovered1
7/3 y 5 mo/MFever, conscious disturbance, decerebrate postureInfluenza BSpasticity, speech disorder2
8/2 mo/MFever, conscious disturbance, seizure, motor weakness with cogwheel rigidityHHV-6Speech disorder; full motor recovery2
9/6 y/FFever, skin rash, conscious disturbance, seizure, lower extremity paralysis, speech disabilityAdenovirusNeurogenic bladder, lower extremity weakness2
10/2 y/MFever, coma, seizureN/ALower extremity weakness with rigidity2
11/2 y 6 mo/FFever, conscious disturbance, seizure, lower extremity paralysisNegativeLower extremity weakness2
12/2 y 4 mo/FFever, conscious disturbance 1 mo, vomiting, seizureEnterovirusConscious disturbance, diplegia, spasticity3
  • Note:—NUI:1 indicates Health Utilities Index Mark 1; HHV-6, human herpes virus 6; N/A, not available.