Presentation
Unwitnessed collapse with seizures. Febrile.
Patient Data
Age: 60 years
Gender: Male
From the case:
HSV encephalitis
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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.
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T2 and DWI hyperintensity within the right medial temporal lobe including the hippocampus.
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Right temporal lobe encephalomalacia at site of previous HSV encephalitis.
Case Discussion
Confirmed case of HSV encephalitis.