Temporal lobe atrophy post herpes simplex encephalitis
PH of herpes encephalitis, now seizures. Poor short term memory.
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Gross atrophy of the right temporal lobe (grey and white matter) with ex-vacuo dilatation of the right temporal horn. Surrounding T2 brightening indicative of gliosis.
Herpes simplex encephalitis is a devastating infection and if not treated early can cause severe destruction of brain tissue leading to gross atrophy as evidenced by this case.