Presentation
Fever, altered sensorium, seizures
Patient Data
Age: 30 years
Gender: Male
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guideline
From the case:
Herpes encephalitis
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T2 and FLAIR hyperintensities with asymmetrical distribution of bilateral temporal lobes, inferolateral frontal lobes, and bilateral insula ribbon with associated edema and restricted diffusion.
Case Discussion
MRI features are classic of herpes simplex encephalitis
- asymmetric involvement of the temporal lobes
- asymmetric involvement of the insular cortices
- gyrus rectus and cingulate gyrus involvement
There is typical diffusion restriction in the affected areas.