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Herpes simplex encephalitis (old)

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Epilepsy for the past 9 years.

Patient Data

Age: 65 years

The left temporal lobe demonstrates marked gliosis and volume loss with involvement superiorly of the insular cortex. Minor periventricular white matter change is also seen on the right. Features are consistent with the previously PCR established episode of HSV encephalitis 9 years earlier. 

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