Skip to main content
Log in

Diffusion-weighted imaging findings on MRI as the sole radiographic findings in a child with proven herpes simplex encephalitis

  • Case Report
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

We present a case of herpes simplex encephalitis in an 8-year-old girl, in whom hyperintensity was detected on diffusion-weighted imaging (DWI) while conventional MRI sequences were normal 1 week after the onset of neurological symptoms. This case is rare in that a child beyond the neonatal period with focal herpes simplex encephalitis had an abnormal DWI sequence as the only MRI finding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Corey L, Spear PG (1986) Infections with herpes simplex viruses (2). N Engl J Med 20:749–757

    Article  Google Scholar 

  2. Whitley RJ, Kimberlin DW (2005) Herpes simplex encephalitis: children and adolescents. Semin Pediatr Infect Dis 16:17–23

    Article  PubMed  Google Scholar 

  3. Gadian DG, Calamante F, Kirkham FJ et al (2000) Diffusion and perfusion magnetic resonance imaging in childhood stroke. J Child Neurol 15:279–283

    PubMed  CAS  Google Scholar 

  4. Teixeira J, Zimmerman RA, Haselgrove JC et al (2001) Diffusion imaging in pediatric central nervous system infections. Neuroradiology 43:1031–1039

    Article  PubMed  CAS  Google Scholar 

  5. Tsuchiya K, Katase S, Yoshino A et al (1999) Diffusion-weighted MR imaging of encephalitis. AJR 173:1097–1099

    PubMed  CAS  Google Scholar 

  6. Kiroglu Y, Calli C, Yunten N et al (2006) Diffusion-weighted MR imaging of viral encephalitis. Neuroradiology 48:875–880

    Article  PubMed  Google Scholar 

  7. Dhawan A, Kecskes Z, Jyoti R et al (2006) Early diffusion-weighted magnetic resonance imaging findings in neonatal herpes encephalitis. J Paediatr Child Health 42:824–826

    Article  PubMed  Google Scholar 

  8. Nouranifar RK, Ali M, Nath J (2003) The earliest manifestation of focal encephalitis on diffusion-weighted MRI. Clin Imaging 27:316–320

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Makram Obeid.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Obeid, M., Franklin, J., Shrestha, S. et al. Diffusion-weighted imaging findings on MRI as the sole radiographic findings in a child with proven herpes simplex encephalitis. Pediatr Radiol 37, 1159–1162 (2007). https://doi.org/10.1007/s00247-007-0577-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-007-0577-z

Keywords

Navigation