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Department of Neurology, Stanford University Medical Center, Stanford, CA.
EEGs were obtained on six infants with herpes simplex virus (HSV) encephalitis. The first EEG of four of these infants showed a unique multifocal periodic or quasiperiodic pattern; in one of these, a periodic pattern subsequently replaced the quasiperiodic pattern. A fifth infant developed a quasiperiodic pattern on the eighteenth day. All of these infants died or were left with severe encephalopathy. A sixth infant was diagnosed and therapy initiated on day 2. The periodic pattern did not appear in any of this infant's EEGs, and at age 8 months he showed only a moderate motor delay. A periodic EEG in a young infant with partial motor seizures and CSF lymphocytic pleocytosis is virtually diagnostic of HSV encephalitis.
Address correspondence to Dr. Mizrahi, Section of Neurophysiology, Department of Neurology, Baylor College of Medicine, 1200 Moursund Avenue, Houston, TX 77030.
Presented in part at the thirty-third annual meeting of the American Academy of Neurology, Toronto, Canada, April 1981.
Accepted for publication April 19, 1982.
Address reprint requests to Dr. Tharp, Department of Neurology, Room C338, Stanford University Medical Center, Stanford, CA 94305.
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