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Herpes encephalitis type 2 in a 2-week-old girl.
A, T2-weighted image shows bilateral hyperintense lesions in the basal ganglia, thalami, and frontotemporal regions.
B and C, DW images show asymmetric but extensive hyperintense lesions with decreased ADC in these areas. This extensive distribution of the lesions is presumably related to vulnerability of the developing brain to excitotoxic injury.
