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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1979 Feb;42(2):154–160. doi: 10.1136/jnnp.42.2.154

Neonatal polycystic encephalomalacia: four new cases and review of the literature.

A M Chutorian, R C Michener, R Defendini, S K Hilal, E T Gamboa
PMCID: PMC490181  PMID: 422963

Abstract

Four patients with pathologically documented polycystic cavitation of the brain had an acute illness characterised by stupor, seizures, CSF erythrocytic and monocytic pleocytosis, increased CSF protein, and diminished CSF glucose. The acute phase was followed by chronic decerebation, disappearance of the CSF abnormalities, and radiological evidence of polycystic cavitation of the brain. In one patient Herpes simplex was isolated from a cutaneous vesicle. The CSF abnormalities in the disorder have received scant attention, and have not previously been correlated with the acute and chronic stages. Clearly some cases are associated with Herpes simplex virus. The clinical profile should now be sufficiently distinctive to permit future identification of the aetiology in more neonates.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abramsky O., Carmon A., Feldman S. Cerebrospinal fluid in acute necrotizing encephalitis. Hypochlorrhachia as a diagnostic aid. J Neurol Sci. 1971 Oct;14(2):183–187. doi: 10.1016/0022-510x(71)90086-4. [DOI] [PubMed] [Google Scholar]
  2. Aicardi J., Goutières F., De Verbois A. H. Multicystic encephalomalacia of infants and its relation to abnormal gestation and hydranencephaly. J Neurol Sci. 1972 Apr;15(4):357–373. doi: 10.1016/0022-510x(72)90165-7. [DOI] [PubMed] [Google Scholar]
  3. COHEN M. M., KRISTIANSEN K. Multiple encephalomalacia of infancy. Acta Psychiatr Neurol Scand. 1954;29(2):129–138. doi: 10.1111/j.1600-0447.1954.tb05673.x. [DOI] [PubMed] [Google Scholar]
  4. Charnock E. L., Cramblett H. G. 5-iodo-2'-deoxyuridine in neonatal herpesvirus hominis encephalitis. J Pediatr. 1970 Mar;76(3):459–463. doi: 10.1016/s0022-3476(70)80491-7. [DOI] [PubMed] [Google Scholar]
  5. Haynes R. E., Azimi P. H., Cramblett H. G. Fatal herpesvirus hominis (herpes simplex virus) infections in children. Clinical, pathologic, and virologic characteristics. JAMA. 1968 Oct 7;206(2):312–319. [PubMed] [Google Scholar]
  6. Johnson K. P., Rosenthal M. S., Lerner P. I. Herpes simplex encephalitis. The course in five virologically proven cases. Arch Neurol. 1972 Aug;27(2):103–108. doi: 10.1001/archneur.1972.00490140007003. [DOI] [PubMed] [Google Scholar]
  7. Kristensson K., Olsson Y., Sourander P. Virus encephalitis: pathogenesis in the immature brain. Dev Med Child Neurol. 1974 Jun;16(3):382–394. doi: 10.1111/j.1469-8749.1974.tb03355.x. [DOI] [PubMed] [Google Scholar]
  8. LUMSDEN C. E. Multiple cystic softening of the brain in the newborn. J Neuropathol Exp Neurol. 1950 Apr;9(2):119–138. doi: 10.1097/00005072-195004000-00001. [DOI] [PubMed] [Google Scholar]
  9. Lindenberg R., Swanson P. D. "Infantile hydranencephaly"--a report of five cases of infarction of both cerebral hemispheres in infancy. Brain. 1967 Dec;90(4):839–850. doi: 10.1093/brain/90.4.839. [DOI] [PubMed] [Google Scholar]
  10. Miller J. K., Hesser F., Tompkins V. N. Herpes simplex encephalitis. Report of 20 cases. Ann Intern Med. 1966 Jan;64(1):92–103. doi: 10.7326/0003-4819-64-1-92. [DOI] [PubMed] [Google Scholar]
  11. NEGRIN J., Jr, LEPOW H., MILLER B. Multilocular encephalomalacia; case report. J Neuropathol Exp Neurol. 1952 Jan;11(1):62–68. doi: 10.1097/00005072-195201000-00007. [DOI] [PubMed] [Google Scholar]
  12. Osburn B. I., Silverstein A. M., Prendergast R. A., Johnson R. T., Parshall C. J., Jr Experimental viral-induced congenital encephalopathies. I. Pathology of hydranencephaly and porencephaly caused by bluetongue vaccine virus. Lab Invest. 1971 Sep;25(3):197–205. [PubMed] [Google Scholar]
  13. Raine C. S., Fields B. N. Neurotropic viruses and the developing brain. N Y State J Med. 1973 May 15;73(10):1169–1179. [PubMed] [Google Scholar]
  14. Schultz P., Leeds N. E. Intraventricular septations complicating neonatal meningitis. J Neurosurg. 1973 May;38(5):620–626. doi: 10.3171/jns.1973.38.5.0620. [DOI] [PubMed] [Google Scholar]
  15. South M. A., Tompkins W. A., Morris C. R., Rawls W. E. Congenital malformation of the central nervous system associated with genital type (type 2) herpesvirus. J Pediatr. 1969 Jul;75(1):13–18. doi: 10.1016/s0022-3476(69)80096-x. [DOI] [PubMed] [Google Scholar]
  16. YOUNG G. F., KNOX D. L., DODGE P. R. NECROTIZING ENCEPHALITIS AND CHORIORETINITIS IN A YOUNG INFANT: REPORT OF A CASE WITH RISING HERPES SIMPLEX ANTIBODY TITERS. Arch Neurol. 1965 Jul;13:15–24. doi: 10.1001/archneur.1965.00470010019003. [DOI] [PubMed] [Google Scholar]

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