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Herpes simplex encephalitis (HSV2)

Goldstein SJG - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Herpes simplex encephalitis (HSV2)

History: 43 year old woman presents with seizure. History of 4 days of headache, nausea and vomiting

Findings: • August MRI- Mass lesion in left temporal lobe, with edema but no contrast enhancement. Best seen on FLAIR MRI. • November MRI- ring-like enhancement in left temporal lobe. FLAIR images are not remarkable

Ddx: • Tumor • Trauma • Infection - abscess vs encephalitis vs meningoencephalitis • Post-ictal changes

Dxhow: CSF positive PCR for herpes type 2

Exam: • Febrile and disoriented • Lumbar puncture requested

No MeSH data available.


Schematic of HSV encephalitis, showing lesions in the temporal lobe, insula, and cingulate gyrus - Bright on FLAIR.
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MPX2149_synpic55539: Schematic of HSV encephalitis, showing lesions in the temporal lobe, insula, and cingulate gyrus - Bright on FLAIR.


Herpes simplex encephalitis (HSV2)

Goldstein SJG - MedPix (2007)

Schematic of HSV encephalitis, showing lesions in the temporal lobe, insula, and cingulate gyrus - Bright on FLAIR.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2149&req=5

MPX2149_synpic55539: Schematic of HSV encephalitis, showing lesions in the temporal lobe, insula, and cingulate gyrus - Bright on FLAIR.

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Herpes simplex encephalitis (HSV2)

History: 43 year old woman presents with seizure. History of 4 days of headache, nausea and vomiting

Findings: • August MRI- Mass lesion in left temporal lobe, with edema but no contrast enhancement. Best seen on FLAIR MRI. • November MRI- ring-like enhancement in left temporal lobe. FLAIR images are not remarkable

Ddx: • Tumor • Trauma • Infection - abscess vs encephalitis vs meningoencephalitis • Post-ictal changes

Dxhow: CSF positive PCR for herpes type 2

Exam: • Febrile and disoriented • Lumbar puncture requested

No MeSH data available.