The spectrum of herpes simplex encephalitis in children

Eur J Paediatr Neurol. 2008 Mar;12(2):72-81. doi: 10.1016/j.ejpn.2007.07.007. Epub 2007 Sep 17.


Clinical and basic science research carried out in recent years into herpes simplex encephalitis (HSE) have shown that the concept of a "classical" picture of HSE in children is now outdated and that our current knowledge of the disease is probably only the tip of an iceberg. Indeed, increasing evidence supports the existence of a wider range of pathophysiological mechanisms, clinical presentations and disease progressions in paediatric HSE. This paper reviews the clinical, biological and radiological data available and redefines the spectrum of HSE in children. Full understanding of the condition should improve the management of suspected cases and decrease the morbidity and the mortality associated with this disease.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Child
  • Electroencephalography
  • Encephalitis, Herpes Simplex / diagnosis
  • Encephalitis, Herpes Simplex / diagnostic imaging*
  • Encephalitis, Herpes Simplex / epidemiology
  • Encephalitis, Herpes Simplex / pathology*
  • Encephalitis, Herpes Simplex / physiopathology
  • Encephalitis, Herpes Simplex / virology
  • Humans
  • Inflammation / pathology
  • Radiography
  • Virus Replication