Summary
A localized brain affection in a 10-year-old girl was closely followed for 2 1/2 years by means of EEG, nuclear brain scans, angiography and computed tomography. Owing to the absence of angiographic evidence of an arterial occlusion, the possibility of an infarct was abandoned and a tentative diagnosis of focal encephalitis, probably viral in origin, was made. The necessity of arriving at such a diagnosis by exclusion of other possibilities rather than by the positive demonstration of the causative agent is discussed. The importance of neuroradiological methods in stressed.
Similar content being viewed by others
References
Becker, H., Desch, H., Hacker, H., Pencz, A.: CT fogging effect with ischemic cerebral infarcts. Neuroradiology 18, 185–192 (1979)
Chalhub, E.G., De Vivo, D.C., Siegel, B.A.: Coxsackie A9 focal encephalitis associated with acute infantile hemiplegia and porencephaly. Neurology (Minneap.) 27, 574–579 (1977)
Cherry, J.D.: Newer viral exanthemas. Adv. Pediatr. 16, 233–274 (1969)
Claveria, L.E., du Boulay G.H., Moseley, I.F.: Intracranial infections: Investigation by computerized axial tomography. Neuroradiology 12, 59–71 (1976)
Cronquist, S.: Regional cerebral blood flow and angiography in apoplexy. Acta Radiol. [Diagn.] (Stockh.) 7, 521–533 (1968)
Davis, J.M., Davis, K.R., Kleinman, G.M.,Kirchner, H.S., Taveras, J.M.: Computed tomography of herpes simplex encephalitis, with clinicopathological correlation. Radiology 129, 419–425 (1978)
Enzmann, D.R., Ranson, B., Norman, D., Talberth, E.: Computed tomography of herpes simplex encephalitis. Radiology 129, 419–425 (1978)
Lassen, N.A.: The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis localized within the brain. Lancet 1966 II, 1113–1115
Peters, A.C.B., Vielvoye, G.J., Versteeg, J., Boots, G.T., Lindeman, J.: ECHO 25 focal encephalitis and subacute hemichorea. Neurology (Minneap.) 29, 676–681 (1979)
Roden, V.J., Cantor, H.E., O'Connor, D.M., Schmidt, R.R., Cherry, J.D.: Acute hemiplegia of childhood associated with Coxsackie A9 viral infection. J. Pediatr. 86, 56–58 (1979)
Rosenblum, W.I., Hadfield, M.G.: Granulomatous angiitis of the nervous system in cases of herpes zoster and lymphosarcoma. Neurology 22,348–354 (1972)
Taveras, J.M., Wood, E.H.: Diagnostic neuroradiology, Baltimore: Williams & Wilkins 1964
Taveras, J.M., Gilson, J.M., Davis, D.O., Kilgore, B., Rumbaugh, C.L.: Angiography in cerebral infarction. Radiology 93, 549–558 (1969)
Walker, R.J., Gammal, T.E., Allen, Jr., M.B.: Cranial arteritis associated with herpes zoster. Radiology 107, 109–110 (1973)
Webster, A.D., Tripp, J.H., Hayward, A.R., Dayan, A.D., Doshi, R., MacIntyre, E.H., Tyrell, A.J.: Echovirus encephalitis and myositis in primary immunoglobulin deficiency. Arch. Dis. Child. 53, 33–37 (1978)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Probst, F.P. Non-pyogenic focal encephalitis diagnosis and follow-up by computed tomography and nuclear brain scanning. Neuroradiology 20, 155–158 (1980). https://doi.org/10.1007/BF00341780
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00341780