Objective: Acute hemiplegia in childhood is rare, the underlying etiol
ogy frequently obscured and the pathological site unidentified. Materi
als and Methods: Magnetic resonance imaging (1.5 T Magnetom) was perfo
rmed in two cases with hemiplegia followed by repeated studies at 3 an
d 16 months, respectively, after the initial examinations, including C
T and angiography, were negative. Results: MRI demonstrated otherwise
occult lesions in the brain stem and showed the subsequent partial res
olution consistent with infarction. Conclusion: MRT should be employed
in those children with acute hemiplegia in whom no underlying cause i
s elicited.