Presentation
Lethargy, apnea, poor feeding and seizures.
Patient Data
Age: 1 year
Gender: Female
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There is bilateral asymmetric increased signal intensity in FLAIR sequence with corresponding diffusion restriction on DWI in anterior and medial temporal lobes, limbic systems, right insular cortex and fornix, right pulvinar. Basal ganglia are spared. Increased signal also noted in anterior commissure.
Overall pattern of abnormality is bilateral, and not fitting a single vascular distribution.
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one month later","gb":"Follow-up, one month later"},"findings":{"us":"","gb":""},"contributor_login":"amr_nazih","case_id":32437,"case_key_image_id":9251456,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Dramatic change in one month with cystic encephalomalacia, focal atrophy and diffuse white matter hyperintensity.
Case Discussion
This case was managed as herpes simplex encephalitis.
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