HSV encephalitis

Case contributed by Dr Andrew Dixon

Presentation

Unwitnessed collapse with seizures. Febrile.

Patient Data

Age: 60
Gender: Male
Modality: CT

Subtle hypoattenuation and loss of grey-white differentiation in the medial portion of the right anterior temporal lobe. The diagnosis not to be missed in this setting is that of HSV encephalitis and urgent MRI and CSF sampling should be sought. 

Modality: MRI

MRI done two days post CT Brain. T2 and DWI hyperintensity within the right medial temporal lobe including the hippocampus. 

7 months later

Modality: CT

Right temporal lobe encephalomalacia at site of previous HSV encephalitis. 

Case Discussion

Confirmed case of HSV encephalitis

PlayAdd to Share

Case Information

rID: 35410
Case created: 5th Apr 2015
Last edited: 25th Nov 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.