Fig. 5

Brain MR DWI sequence of case 5, showing symmetrical diffuse high signal in bilateral basal ganglia and thalamus. The patient was diagnosed with necrotizing encephalopathy. Shortly after admission, there was a rapid deepening of consciousness impairment, leading to cerebral dysfunction, cessation of spontaneous breathing, and concomitant circulatory failure. Ultimately, the patient succumbed to multiple organ failure