[Radiological and EEG findings in acute encephalopathy syndromes in children]

Jun-ichi Takanashi
Nihon Rinsho. Japanese Journal of Clinical Medicine 2011, 69 (3): 490-8
Acute infectious encephalopathy, including influenza associated encephalopathy, is more frequently observed in Japanese infants. MRI is accepted as a more sensitive technique than CT for the diagnosis of encephalopathy. Diffusion weighted images and MR spectroscopy are particularly useful for detecting early changes and metabolic derangements in the brain, respectively. EEG can reflect brain function. In this article, I reviewed radiological and EEG findings in three infectious encephalopathy syndromes, i.e., acute encephalopathy with biphasic seizures and late reduced diffusion (AESD), acute necrotizing encephalopathy of childhood (ANE), and clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS), in which MRI is essential for the diagnosis.

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