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Computerized Tomography in Infantile Encephalitis

Computerized Tomography in Infantile Encephalitis Abstract • Although computerized tomographic (CT) findings are well recognized in numerous neurologic diseases of children, CT scan abnormalities of encephalitis have only been associated with herpes simplex infection. We describe two infants, one with coxsackievirus B2 meningoencephalitis and one with clinical encephalitis, whose CT scans were similarly abnormal during the acute phase of their illness. In both infants, recovery of both neurologic and developmental deficits was accompanied by resolution of the abnormalities of the initial CT scan. Speculation is offered as to the role of the CT scan in the assistance of the physician who must evaluate both the diagnosis and prognosis of infants who have a clinical picture of encephalitis. (Am J Dis Child 133:803-805, 1979) References 1. Bachman DS, Hodges FJ, Freedman JM: Computerized axial tomography in neurologic disorders of children . Pediatrics 59:352-363, 1977. 2. House OW, Smith JB, Gomez MR, et al: Evaluation of intracranial disorders in children by computerized transaxial tomography: A preliminary report . Neurology 25:607-613, 1975.Crossref 3. Gomez MR, Reese DF: Computed tomography of the head in infants and children . Pediatr Clin North Am 23:473-498, 1976. 4. Thompson JLG: The computed axial tomograph in acute herpes simplex encephalitis . Br J Radiol 49:86-87, 1976.Crossref 5. Delaney TB, Fukunaga FH: Myocarditis in a newborn infant with encephalomeningitis due to coxsackie virus group B, type 5 . N Engl J Med 259:234-236, 1958.Crossref 6. Wright HT, Landing BH, Lennette EH, et al: Fatal infection in an infant associated with coxsackie virus group A, type 16 . N Engl J Med 268:1041-1044, 1963.Crossref 7. Fechner RE, Smith MG, Millicamp JN: Coxsackie B virus infection of the newborn . Am J Pathol 42:493-506, 1963. 8. Conway JJ: Radionuclide imaging of the central nervous system in children . Radiol Clin North Am 10:291-312, 1972. 9. Sells CJ, Carpenter RL, Ray CG: Sequelae of central nervous system enterovirus infections . N Engl J Med 293:1-4, 1975.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Computerized Tomography in Infantile Encephalitis

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1979.02130080043008
Publisher site
See Article on Publisher Site

Abstract

Abstract • Although computerized tomographic (CT) findings are well recognized in numerous neurologic diseases of children, CT scan abnormalities of encephalitis have only been associated with herpes simplex infection. We describe two infants, one with coxsackievirus B2 meningoencephalitis and one with clinical encephalitis, whose CT scans were similarly abnormal during the acute phase of their illness. In both infants, recovery of both neurologic and developmental deficits was accompanied by resolution of the abnormalities of the initial CT scan. Speculation is offered as to the role of the CT scan in the assistance of the physician who must evaluate both the diagnosis and prognosis of infants who have a clinical picture of encephalitis. (Am J Dis Child 133:803-805, 1979) References 1. Bachman DS, Hodges FJ, Freedman JM: Computerized axial tomography in neurologic disorders of children . Pediatrics 59:352-363, 1977. 2. House OW, Smith JB, Gomez MR, et al: Evaluation of intracranial disorders in children by computerized transaxial tomography: A preliminary report . Neurology 25:607-613, 1975.Crossref 3. Gomez MR, Reese DF: Computed tomography of the head in infants and children . Pediatr Clin North Am 23:473-498, 1976. 4. Thompson JLG: The computed axial tomograph in acute herpes simplex encephalitis . Br J Radiol 49:86-87, 1976.Crossref 5. Delaney TB, Fukunaga FH: Myocarditis in a newborn infant with encephalomeningitis due to coxsackie virus group B, type 5 . N Engl J Med 259:234-236, 1958.Crossref 6. Wright HT, Landing BH, Lennette EH, et al: Fatal infection in an infant associated with coxsackie virus group A, type 16 . N Engl J Med 268:1041-1044, 1963.Crossref 7. Fechner RE, Smith MG, Millicamp JN: Coxsackie B virus infection of the newborn . Am J Pathol 42:493-506, 1963. 8. Conway JJ: Radionuclide imaging of the central nervous system in children . Radiol Clin North Am 10:291-312, 1972. 9. Sells CJ, Carpenter RL, Ray CG: Sequelae of central nervous system enterovirus infections . N Engl J Med 293:1-4, 1975.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Aug 1, 1979

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