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Living with Familial acute necrotizing encephalopathy

An inherited tendency to sudden brain illness after a viral infection like the flu.

Understanding Familial acute necrotizing encephalopathy

Familial acute necrotizing encephalopathy is an inherited tendency to repeated, sudden brain illness following a viral infection.

Brain changes develop within days after a viral illness such as influenza. It starts within 12 hours to 3 or 4 days of the first symptoms, which are fever, cough, vomiting, and diarrhea. Then nervous system problems follow. Most people go into a coma that lasts several weeks. The illness is called acute because episodes are time-limited.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Fever
  • Sudden brain illness (acute encephalopathy)
  • Coma
  • Seizures or hallucinations
  • Poor balance and coordination (ataxia)
  • Muscle stiffness and weakness

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RANBP2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the RANBP2 gene confirm this diagnosis?
What should we do when a viral illness starts?
Which specialists should be on the care team?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesRANBP2

Changes in the RANBP2 gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticNeurological

Also known as: adane; encephalopathy, acute, infection-induced, 3, susceptibility to; encephalopathy, acute, infection-induced, susceptibility to, 3; encephalopathy, acute, infection-induced, susceptibility to, type 3; iiae3; recurrent acute necrotizing encephalopathy

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial acute necrotizing encephalopathyGARD ID 13232 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Familial acute necrotizing encephalopathy.

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