id author title date pages extension mime words sentences flesch summary cache txt cord-291517-ifei60ly Dixon, Luke COVID-19-related acute necrotizing encephalopathy with brain stem involvement in a patient with aplastic anemia 2020-05-26 .txt text/plain 1835 118 43 title: COVID-19-related acute necrotizing encephalopathy with brain stem involvement in a patient with aplastic anemia OBJECTIVE: To describe a novel case of coronavirus disease 2019 (COVID-19)-associated acute necrotizing encephalopathy (ANE) in a patient with aplastic anemia where there was early brain stem-predominant involvement. Nasopharyngeal swab testing for severe acute respiratory syndrome coronavirus (SARS-CoV-2) was positive, and CT during admission demonstrated diffuse swelling of the brain stem. 2 Here, we report a further case of possible COVID-19-related necrotizing hemorrhagic encephalopathy associated with early brain stem involvement. Extensive abnormal signal and microhemorrhage were found in a symmetrical distribution within the dorsolateral putamina, ventrolateral thalamic nuclei, subinsular regions, splenium of the corpus callosum, cingulate gyri, and subcortical Glossary ANE = acute necrotizing encephalopathy; COVID-19 = coronavirus disease 2019; GCS = Glasgow Coma Score; GTCS = generalized tonic-clonic seizure; SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2. ./cache/cord-291517-ifei60ly.txt ./txt/cord-291517-ifei60ly.txt