Presentation
Fever, loss of consciousness
Patient Data
Age: 4 years
Gender: Male
From the case:
Herpes simplex encephalitis
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Bilateral swelling and hyperintensity of insula, peri-sylvian region, inferior right frontal lobe, in both T2Wi and FLAIR sequences, restricted diffusion in DW/ADC, and show leptomeningeal enhancement in T1Wi post contrast.
Also noted hyperintense areas in both thalami in bothT2W and FLAIR sequences.
Case Discussion
Abnormal high signal intensity in T2W and FLAIR sequences involving cortex and underlying white matter of temporal lobes, insula, peri-sylvian regions, sparing the lentiform nuclei, leptomenigeal enhancement, cytotoxic edema, suggestive inflammatory process, probable herpes encephalitis.
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