MRI findings of severe Epstein-Barr virus encephalomyelitis

The MR findings of a clinically severe case of serologically documented Epstein-Barr virus encephalomyelitis are presented, demonstrating hyperintensity on T2-weighted sequences throughout cervical spinal cord, the basal ganglia, and the insular cortex. It is not known whether the preferential involvement of gray matter structures in this case is a typical or unusual feature of this rare entity.