Question
A patient was admitted with fever, altered level of consciousness, and seizures. His MRI shows the following finding. What is the diagnosis?
| A. |
Varicella encephalitis
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| B. |
Herpes simplex encephalitis
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| C. |
Japanese encephalitis
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| D. |
HIV
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Show Answer
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Correct Answer � B
Explanation
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|
Ans. B. Herpes simplex encephalitis
It is an MRI FLAIR sequence showing hyperintensity in the right temporal region confined predominantly to the gray matter suggesting HSV encephalitis.
Findings in HSV encephalitis:
- Increased signal intensity in the frontotemporal, cingulate or insular regions of the brain.
- Periodic focal temporal lobe spikes in EEG
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