“…33 In the case of EV-71 neurologic disease and the current series, possible etiologies could include direct viral infection, inflammation related to Wallerian degeneration from anterior horn cell damage, or a postinfectious autoimmune inflammatory process, as is suspected in Guillain-Barrerelated enhancement. 34 Several imaging features argue against alternative, noninfectious differential diagnoses. None of these patients presented with supratentorial lesions, as are frequently seen in acute disseminated encephalomyelitis.…”