Herpes encephalitis

Case contributed by Paresh K Desai


Fever altered sensorium. CSF analysis showed lymphocytosis.

Patient Data

Age: 30 years

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


Increased T2 signal with corresponding restriction diffusion noted in left insular cortex and anteroinferior frontal lobes.

Case Discussion

Classic features of herpes encephalitis are demonstrated.
Asymmetric temporal lobe involvement.
Involvement of the insular cortex; gyrus rectus.
Diffusion restriction of the affected areas.
This patient also has involvement of the frontal cortex on both sides.

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