“…The clinical picture described and the neuropathological changes seen in both cases were consistent with a diagnosis of multifocal symmetrical necrotising encephalopathy. The presentation of the disease was similar to that described by other authors (Harper and others 1989, Finnie and Phillips 1991, Frank and others 1992, Desjardins and others 2001). In particular, the age of onset, period of progression to recumbency and the distribution of lesions were remarkably consistent.…”