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AJR 2000; 174:1651-1655
© American Roentgen Ray Society

Original Report

MR Imaging of Herpes Simplex Type I Encephalitis in Infants and Young Children

A Separate Pattern of Findings

Jeffrey R. Leonard1, Christopher J. Moran2, DeWitte T. Cross, III2, Franz J. Wippold, II2,3, Yechiel Schlesinger4 and Gregory A. Storch4

1 Department of Neurological Surgery, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110.
2 Mallinckrodt Institute of Radiology, Washington University Medical Center, 510 S. Kingshighway Blvd., St. Louis, MO 63110.
3 Department of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814.
4 Department of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110.

OBJECTIVE. We sought to identify the initial MR findings of herpes simplex encephalitis in infants and young children.

CONCLUSION. MR imaging findings of herpes encephalitis in infants and young children appear to differ from those seen in neonates, older children, and adults. Appreciation of this MR imaging pattern coupled with a strong clinical suspicion of herpes helps to ensure the correct diagnosis is made.


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