Diffuse brain parenchymal inflammation caused by variety of pathogens, most commonly viruses
Location dependent on etiology
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Kramer R et al: Acute flaccid myelitis caused by enterovirus D68: case definitions for use in clinical practice. Eur J Paediatr Neurol. 23(2):235-9, 2019
Okumura A et al: Serial MRI findings of acute flaccid myelitis during an outbreak of enterovirus D68 infection in Japan. Brain Dev. 41(5):443-51, 2019
Sharma V et al: Emerging trends of Nipah virus: a review. Rev Med Virol. 29(1):e2010, 2019
Yoder JA et al: Pediatric acute flaccid paralysis: enterovirus D68-associated anterior myelitis. J Emerg Med. 53(1):e19-e23, 2017
Daep CA et al: Flaviviruses, an expanding threat in public health: focus on dengue, West Nile, and Japanese encephalitis virus. J Neurovirol. 20(6):539-60, 2014
Goldberg EM et al: Anti-N-methyl-D-aspartate receptor-mediated encephalitis in infants and toddlers: case report and review of the literature. Pediatr Neurol. 50(2):181-4, 2014
Griffiths MJ et al: Japanese encephalitis virus infection. Handb Clin Neurol. 123:561-76, 2014
Mahan M et al: Neuroimaging of viral infections of the central nervous system. Handb Clin Neurol. 123:149-73, 2014
Park A et al: Respiratory syncytial virus-related encephalitis: magnetic resonance imaging findings with diffusion-weighted study. Neuroradiology. 56(2):163-8, 2014
Basumatary LJ et al: Clinical and radiological spectrum of Japanese encephalitis. J Neurol Sci. 325(1-2):15-21, 2013
Speers DJ et al: Clinical and radiological predictors of outcome for Murray Valley encephalitis. Am J Trop Med Hyg. 88(3):481-9, 2013
Watanabe M et al: Mumps virus-associated acute encephalopathy: case report and review of the literature. J Child Neurol. 28(2):243-5, 2013
Yoshida T et al: MRI gadolinium enhancement precedes neuroradiological findings in acute necrotizing encephalopathy. Brain Dev. 35(10):921-4, 2013
Zeng H et al: Clinical and MRI features of neurological complications after influenza A (H1N1) infection in critically ill children. Pediatr Radiol. 43(9):1182-9, 2013
Parmar H et al: Pediatric intracranial infections. Neuroimaging Clin N Am. 22(4):707-25, 2012
Thompson C et al: Encephalitis in children. Arch Dis Child. 97(2):150-61, 2012
Handique SK: Viral infections of the central nervous system. Neuroimaging Clin N Am. 21(4):777-94, vii, 2011
Reppel M et al: Japanese encephalitis in Western Europe. Clin Neurol Neurosurg. 111(4):373-5, 2009
Misra UK et al: The prognostic role of magnetic resonance imaging and single-photon emission computed tomography in viral encephalitis. Acta Radiol. 49(7):827-32, 2008
Nagel MA et al: The varicella zoster virus vasculopathies: clinical, CSF, imaging, and virologic features. Neurology. 70(11):853-60, 2008
Rumboldt Z: Imaging of topographic viral CNS infections. Neuroimaging Clin N Am. 18(1):85-92; viii, 2008
Tavazzi E et al: Varicella zoster virus meningo-encephalo-myelitis in an immunocompetent patient. Neurol Sci. 29(4):279-83, 2008
Baskin HJ et al: Neuroimaging of herpesvirus infections in children. Pediatr Radiol. 37(10):949-63, 2007
Sejvar JJ et al: Long-term neurological and functional outcome in Nipah virus infection. Ann Neurol. 62(3):235-42, 2007
Sarkar N et al: Bilateral intracerebral haemorrhages: an atypical presentation of Japanese encephalitis. J Assoc Physicians India. 53:144-6, 2005
Wong SH et al: Murray valley encephalitis mimicking herpes simplex encephalitis. J Clin Neurosci. 12(7):822-4, 2005
Emig M et al: Severe West Nile virus disease in healthy adults. Clin Infect Dis. 38(2):289-92, 2004
Lury KM et al: Eastern equine encephalitis: CT and MRI findings in one case. Emerg Radiol. 11(1):46-8, 2004
Prakash M et al: Diffusion-weighted MR imaging in Japanese encephalitis. J Comput Assist Tomogr. 28(6):756-61, 2004
Laothamatas J et al: MR imaging in human rabies. AJNR Am J Neuroradiol. 24(6):1102-9, 2003
Calli C et al: Proton MR spectroscopy in the diagnosis and differentiation of encephalitis from other mimicking lesions. J Neuroradiol. 29(1):23-8, 2002
Majid A et al: Epstein-Barr virus myeloradiculitis and encephalomyeloradiculitis. Brain. 125(Pt 1):159-65, 2002
Kleinschmidt-DeMasters BK et al: The expanding spectrum of herpesvirus infections of the nervous system. Brain Pathol. 11(4):440-51, 2001
Wasay M et al: St Louis encephalitis: a review of 11 cases in a 1995 Dallas, Tex, epidemic. Arch Neurol. 57(1):114-8, 2000
Deresiewicz RL et al: Clinical and neuroradiographic manifestations of eastern equine encephalitis. N Engl J Med. 336(26):1867-74, 1997
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Diffuse brain parenchymal inflammation caused by variety of pathogens, most commonly viruses
Location dependent on etiology
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Kramer R et al: Acute flaccid myelitis caused by enterovirus D68: case definitions for use in clinical practice. Eur J Paediatr Neurol. 23(2):235-9, 2019
Okumura A et al: Serial MRI findings of acute flaccid myelitis during an outbreak of enterovirus D68 infection in Japan. Brain Dev. 41(5):443-51, 2019
Sharma V et al: Emerging trends of Nipah virus: a review. Rev Med Virol. 29(1):e2010, 2019
Yoder JA et al: Pediatric acute flaccid paralysis: enterovirus D68-associated anterior myelitis. J Emerg Med. 53(1):e19-e23, 2017
Daep CA et al: Flaviviruses, an expanding threat in public health: focus on dengue, West Nile, and Japanese encephalitis virus. J Neurovirol. 20(6):539-60, 2014
Goldberg EM et al: Anti-N-methyl-D-aspartate receptor-mediated encephalitis in infants and toddlers: case report and review of the literature. Pediatr Neurol. 50(2):181-4, 2014
Griffiths MJ et al: Japanese encephalitis virus infection. Handb Clin Neurol. 123:561-76, 2014
Mahan M et al: Neuroimaging of viral infections of the central nervous system. Handb Clin Neurol. 123:149-73, 2014
Park A et al: Respiratory syncytial virus-related encephalitis: magnetic resonance imaging findings with diffusion-weighted study. Neuroradiology. 56(2):163-8, 2014
Basumatary LJ et al: Clinical and radiological spectrum of Japanese encephalitis. J Neurol Sci. 325(1-2):15-21, 2013
Speers DJ et al: Clinical and radiological predictors of outcome for Murray Valley encephalitis. Am J Trop Med Hyg. 88(3):481-9, 2013
Watanabe M et al: Mumps virus-associated acute encephalopathy: case report and review of the literature. J Child Neurol. 28(2):243-5, 2013
Yoshida T et al: MRI gadolinium enhancement precedes neuroradiological findings in acute necrotizing encephalopathy. Brain Dev. 35(10):921-4, 2013
Zeng H et al: Clinical and MRI features of neurological complications after influenza A (H1N1) infection in critically ill children. Pediatr Radiol. 43(9):1182-9, 2013
Parmar H et al: Pediatric intracranial infections. Neuroimaging Clin N Am. 22(4):707-25, 2012
Thompson C et al: Encephalitis in children. Arch Dis Child. 97(2):150-61, 2012
Handique SK: Viral infections of the central nervous system. Neuroimaging Clin N Am. 21(4):777-94, vii, 2011
Reppel M et al: Japanese encephalitis in Western Europe. Clin Neurol Neurosurg. 111(4):373-5, 2009
Misra UK et al: The prognostic role of magnetic resonance imaging and single-photon emission computed tomography in viral encephalitis. Acta Radiol. 49(7):827-32, 2008
Nagel MA et al: The varicella zoster virus vasculopathies: clinical, CSF, imaging, and virologic features. Neurology. 70(11):853-60, 2008
Rumboldt Z: Imaging of topographic viral CNS infections. Neuroimaging Clin N Am. 18(1):85-92; viii, 2008
Tavazzi E et al: Varicella zoster virus meningo-encephalo-myelitis in an immunocompetent patient. Neurol Sci. 29(4):279-83, 2008
Baskin HJ et al: Neuroimaging of herpesvirus infections in children. Pediatr Radiol. 37(10):949-63, 2007
Sejvar JJ et al: Long-term neurological and functional outcome in Nipah virus infection. Ann Neurol. 62(3):235-42, 2007
Sarkar N et al: Bilateral intracerebral haemorrhages: an atypical presentation of Japanese encephalitis. J Assoc Physicians India. 53:144-6, 2005
Wong SH et al: Murray valley encephalitis mimicking herpes simplex encephalitis. J Clin Neurosci. 12(7):822-4, 2005
Emig M et al: Severe West Nile virus disease in healthy adults. Clin Infect Dis. 38(2):289-92, 2004
Lury KM et al: Eastern equine encephalitis: CT and MRI findings in one case. Emerg Radiol. 11(1):46-8, 2004
Prakash M et al: Diffusion-weighted MR imaging in Japanese encephalitis. J Comput Assist Tomogr. 28(6):756-61, 2004
Laothamatas J et al: MR imaging in human rabies. AJNR Am J Neuroradiol. 24(6):1102-9, 2003
Calli C et al: Proton MR spectroscopy in the diagnosis and differentiation of encephalitis from other mimicking lesions. J Neuroradiol. 29(1):23-8, 2002
Majid A et al: Epstein-Barr virus myeloradiculitis and encephalomyeloradiculitis. Brain. 125(Pt 1):159-65, 2002
Kleinschmidt-DeMasters BK et al: The expanding spectrum of herpesvirus infections of the nervous system. Brain Pathol. 11(4):440-51, 2001
Wasay M et al: St Louis encephalitis: a review of 11 cases in a 1995 Dallas, Tex, epidemic. Arch Neurol. 57(1):114-8, 2000
Deresiewicz RL et al: Clinical and neuroradiographic manifestations of eastern equine encephalitis. N Engl J Med. 336(26):1867-74, 1997
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