Presentation
Epilepsy for the past 9 years.
Patient Data
Age: 65 years
From the case:
Herpes simplex encephalitis (old)
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The left temporal lobe demonstrates marked gliosis and volume loss with involvement superiorly of the insular cortex. Minor periventricular white matter change is also seen on the right. Features are consistent with the previously PCR established episode of HSV encephalitis 9 years earlier.