J Korean Neurol Assoc.
2008 May;26(2):136-138.
Bilateral Medial Temporal Hematomas in HSV-1 Encephalitis
- Affiliations
-
- 1Department of Neurology, Asan Medical Center, Ulsan University, Collage of Medicine, Seoul, Korea. sunuck@amc.seoul.kr
- 2Department of Neurology, Seoul medical Center, Seoul, Korea.
Abstract
- Herpes simplex encephalitis (HSE) is the most common form of encephalitis, with predilection for the temporal lobes and insular cortex. The presence of RBCs is a characteristic finding of CSF analysis and hemorrhagic transformation of the lesions on CT or MRI is not a rare, because the hemorrhagic necrosis is an important pathologic finding of HSE. However, intracerebral hematoma is rarely reported. We report a case of PCR proven HSE with hemotomas in both the medial temporal lobes, which has not been reported.