Herpes encephalitis

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Seizure

Patient Data

Age: 30 years
Gender: Male
ct

There is sulci effacement and hypodensity at left insular cortex and subcortical white matter, with gyral hyperdensity of left temporal lobe.

mri

There is unilateral cortical and subcortical, T2W /FLAIR high signal intensity and T1W low signal intensity at left temporal and frontal lobes involving insular cortex and singulate gyrus, sparing basal ganglia and associated with mild restricted diffusion.

Case Discussion

CSF and blood samples confirmed herpes simplex virus encephalitis.

 

Case courtesy of Dr. Farshad Mirzayi.

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