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HSV Encephalitis

Simmons EAS - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: HSV Encephalitis

History: 21 y/o soldier deployed to Iraq. Found down in barracks three days after being treated for non-specific viral illness.

Findings: Bilateral temporal lobe involvement (L>R) with low attenuation on non-contrast CT, enhancement with gadolinium on T1, T2 hyper-intensity and restricted diffusion consistent with edema.

Ddx: HSV encephalitis VZV encephalitis HHV-6 encephalitis EBV encephalitis vasculitis syphilis tuberculous meningitis WNV

Dxhow: PCR for HSV on CSF sample

Exam: Mental status changes, aphasia.

No MeSH data available.


T2 and FLAIR images show increased signal intensity in the temporal lobes consistent with edema/inflammation.
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MPX2518_synpic39512: T2 and FLAIR images show increased signal intensity in the temporal lobes consistent with edema/inflammation.


HSV Encephalitis

Simmons EAS - MedPix (2007)

T2 and FLAIR images show increased signal intensity in the temporal lobes consistent with edema/inflammation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2518&req=5

MPX2518_synpic39512: T2 and FLAIR images show increased signal intensity in the temporal lobes consistent with edema/inflammation.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: HSV Encephalitis

History: 21 y/o soldier deployed to Iraq. Found down in barracks three days after being treated for non-specific viral illness.

Findings: Bilateral temporal lobe involvement (L>R) with low attenuation on non-contrast CT, enhancement with gadolinium on T1, T2 hyper-intensity and restricted diffusion consistent with edema.

Ddx: HSV encephalitis VZV encephalitis HHV-6 encephalitis EBV encephalitis vasculitis syphilis tuberculous meningitis WNV

Dxhow: PCR for HSV on CSF sample

Exam: Mental status changes, aphasia.

No MeSH data available.