Neuropediatrics 2018; 49(05): 347-352
DOI: 10.1055/s-0038-1661418
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Febrile Infection-Related Epilepsy Syndrome (FIRES) with Multifocal Subcortical Infarcts, A New Imaging Phenotype

Ai Peng Tan
1   Department of Diagnostic Imaging, National University Health System, Singapore
› Author Affiliations
Funding Source No funding was secured for this study.
Further Information

Publication History

10 March 2018

25 May 2018

Publication Date:
06 July 2018 (online)

Abstract

Febrile infection-related epilepsy syndrome (FIRES) is a catastrophic epileptic encephalopathy of unknown etiology which occurs predominantly in school-aged children, following a febrile illness. The term FIRES was first proposed in 2010 by van Baalen et al. The etiology of FIRES remains elusive, although most believed that it is likely related to inappropriate activation of the innate immune system. It is often a diagnosis of exclusion as it lacks specific clinical criteria and/or confirmatory tests. Familiarity with the range of imaging phenotypes associated with FIRES is crucial as this will assist timely recognition and institution of appropriate treatment plan. With this in mind, the author would like to present a rare case of FIRES with extensive subcortical infarcts, predominantly in the temporo-occipital lobes. This has never been reported before and may represent a new imaging phenotype of FIRES. A detailed literature review, focusing on the various pattern of imaging phenotypes, in relation to patients' age and clinical outcome, will also be included.

Financial Disclosure

The author has no financial relationships relevant to this article to disclose.


 
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