PMC9874019_01
Magnetic resonance imaging (MRI) shows bilateral symmetrical thalamic involvement. These lesions demonstrate hypointense on T1-weighted image (WI), and hyperintense on T2WI and fluid attenuated inversion recovery sequence. Diffusion-weighted imaging demonstrate diffusion restriction in thalami, and axial apparent diffusion coefficient (ADC) images show trilaminar appearance.
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Magnetic resonance imaging revealed abnormal signals in bilateral thalami, which raised the suspicion of acute necrotizing encephalopathy (ANE) (Fig. 1).