# Magnetic Resonance Imaging (MRI) Findings in Pediatric Autoimmune Encephalitis: A Case Report

**Authors:** Amira E Raslan

PMC · DOI: 10.7759/cureus.79453 · Cureus · 2025-02-22

## TL;DR

A seven-year-old girl with autoimmune encephalitis showed MRI signs of brain inflammation, leading to timely diagnosis and treatment.

## Contribution

Highlights MRI's role in diagnosing pediatric autoimmune encephalitis through a detailed case report.

## Key findings

- MRI showed hyperintensities in the external capsules and medial temporal lobe.
- Immunomodulatory therapy improved the patient's condition after diagnosis.
- Early MRI recognition is crucial for timely treatment in pediatric AE.

## Abstract

Autoimmune encephalitis (AE) is a rare condition that involves an immune-mediated attack on the brain, often presenting with seizures, altered consciousness, and other neuropsychiatric symptoms. This case report describes a seven-year-old girl who presented with acute brain dysfunction, including seizures and disturbed consciousness, following a gastrointestinal illness. Magnetic resonance imaging (MRI) findings revealed early signs of AE, including hyperintensities in the external capsules and medial temporal lobe. Following negative infectious workups, the diagnosis of AE was confirmed, and the patient was treated with immunomodulatory therapy, leading to gradual improvement. This case emphasizes the importance of early recognition, the role of MRI in diagnosis, and the need for prompt treatment to improve outcomes in pediatric AE.

## Linked entities

- **Diseases:** autoimmune encephalitis (MONDO:0020640)

## Full-text entities

- **Diseases:** gastrointestinal illness (MESH:D005767), brain dysfunction (MESH:D001927), AE (MESH:D020274), seizures (MESH:D012640), altered consciousness (MESH:D003244), neuropsychiatric symptoms (MESH:D001523)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11848224/full.md

## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC11848224/full.md

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Source: https://tomesphere.com/paper/PMC11848224